E66. 01 is morbid (severe) obesity from excess calories.
Z68.42ICD-10 code Z68. 42 for Body mass index [BMI] 45.0-49.9, adult is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10-CM Code for Other obesity E66. 8.
ICD-10 Official Guidelines2 Document Remember BMI may be documented by any clinician. The treating provider must be the one to document obesity, morbid obesity, or any other diagnosis-related code from a BMI measurement. BMI codes should only be reported as a secondary diagnosis code.
Defining Obesity Individuals are usually considered morbidly obese if their weight is more than 80 to 100 pounds above their ideal body weight. A more widely accepted and more exact way to define morbid obesity is with the body mass index (BMI). The BMI is calculated as follows: BMI = weight (kg)/height (m2)
Your BMI is 45. Your BMI of 45 places you into the extremely obese category. Several health conditions such as type 2 diabetes, high blood pressure, sleep apnea, and certain heart diseases are associated with obesity.
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Class 2 – BMI 35.0-39.9.
Morbid (severe) obesity due to excess calories E66. 01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM E66. 01 became effective on October 1, 2021.
Code the provider diagnosis, regardless of documented BMI. - e.g., Provider documents obesity with a BMI of 45, then obesity would be abstracted. - e.g., A BMI of 32.9 is noted, the provider documents morbid obesity, then morbid obesity should be abstracted with no query.
ICD-10 code Z68 for Body mass index [BMI] is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Based on this documentation, the patient is diagnosed with morbid obesity due to excess calories, which would be coded E66.01 Morbid (severe) obesity due to excess calories.
BMI adult codes (Z68.1- thru Z68.4-) are for use for persons 21 years of age or older.
Category E66 contains two instructional notes: Code first obesity complicating pregnancy, childbirth, and puerperium, if applicable (O99.21) 2. Use an additional code to identify body mass index (BMI) if known (Z68). Body mass index (BMI) is a measure of body fat based on height and weight that applies to adult men and women.
For the Body Mass Index (BMI), code assignment may be based on medical record documentation from clinicians who are not the patient’s provider (i.e., physician or other qualified healthcare practitioner legally accountable for establishing the patient’s diagnosis), since this information is typically documented by other clinicians involved in the care of the patient (e.g., a dietitian often documents the BMI ). However, the associated diagnosis (such as overweight, obesity) must be documented by the patient’s provider. If there is conflicting medical record documentation, either from the same clinician or different clinicians, the patient’s attending provider should be queried for clarification.
Body mass index is calculated by dividing weight in kilograms (kg) by height in meters (m) squared. Category. BMI.
Obesity means having too much body fat. Obesity increases the risk of diabetes, heart disease, stroke, arthritis, and some cancers. If you are obese, losing even 5-10 percent of your weight can delay or prevent some of these diseases. Obesity is a substantial public health crisis in the United States, and internationally, ...
Because of the lack of detail, the correct code is E66.9 Obesity, unspecified. Example 2: A 53-year-old female is seen for obesity.
The World Health Organization (WHO) uses the following measures: BMI greater than or equal to 25 is overweight. BMI greater than or equal to 30 is obese. The relevant ICD-10-CM codes are located in category E66, and are organized severity, contributing factors, and manifestation: E66.01 Morbid (severe) obesity due to excess calories.
BMI adult codes are for use for persons 21 years of age or older and the pediatric codes are for use for persons 2-20 years of age.
Body mass index (BMI) is an index of weight-to-height.
E66.01 Morbid (severe) obesity due to excess calories. E66.09 Other obesity due to excess calories. E66.1 Drug-induced obesity: There is an instructional note that states to use an additional code for adverse effect, if applicable, to identify the drug (T36–T50 with a fifth or sixth character 5)
It is appropriate to report “obesity complicating pregnancy (O99.21-),” if documented by the provider.
It is not appropriate to assign the diagnosis code based on BMI. This topic was discussed in the Official Coding Guidelines, Section I.A.19, “Code assignment is not based on clinical criteria used by the provider to establish the diagnosis.” (The topic was also discussed in Coding Clinic, Fourth Quarter 2016, pg. 147-149.) Code assignment is based on the physician’s documentation for the weight diagnosis.
For those who are reporting Hierarchical Condition Categories (HCCs), remember that morbid obesity (E66.01) is an HCC and would be supported by the BMI. Morbid obesity and obesity (E66.9) are always reportable when documented by the provider.
This issue of Coding Clinic supports that the BMI can only be reported whenever a weight diagnosis is documented by the provider. Failure to thrive (adult – R62.7; child over 28 days old – R62.51) and underweight (R63.6) are considered weight diagnoses so the BMI is appropriate to report. For those who are reporting Hierarchical Condition Categories (HCCs), remember that morbid obesity (E66.01) is an HCC and would be supported by the BMI. Morbid obesity and obesity (E66.9) are always reportable when documented by the provider.