Use a child code to capture more detail. ICD Code Z68.4 is a non-billable code. To code a diagnosis of this type, you must use one of the five child codes of Z68.4 that describes the diagnosis 'body mass index (bmi) 40 or greater, adult' in more detail.
Never convert a BMI code to a weight diagnosis. The provider must document a weight diagnosis for the BMI to be abstracted from a chart. For example, a chart of a patient with a documented BMI of 58.9 makes no mention of the patient’s weight in the notes.
Body mass index (BMI) is a computation based on a patient’s weight and height. This calculation is used as a screening tool for providers. In most electronic health records, a patient’s BMI is auto-generated into their vitals data from a height and weight measurement obtained at the beginning of the visit.
BMI adult codes are for use for persons 21 years of age or older. BMI pediatric codes are for use for persons 2-20 years of age.
ICD-10 code Z68. 4 for Body mass index [BMI] 40 or greater, adult is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
44 - Body mass index [BMI] 60.0-69.9, adult | ICD-10-CM.
Body mass index [BMI] 50.0-59.9, adult Z68. 43 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 Z68. 43 became effective on October 1, 2021.
42.
Body mass index [BMI] 60.0-69.9, adult Z68. 44 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 Z68. 44 became effective on October 1, 2021.
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 .
Body mass index [BMI] 27.0-27.9, adult Z68. 27 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10 code E66. 9 for Obesity, unspecified is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
E66. 01 is morbid (severe) obesity from excess calories. E66. 9 is unspecified obesity.
ICD-Code E66* is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Overweight and Obesity. Its corresponding ICD-9 code is 278.
InformationICD-10-CM CodeAdult BMI RangeZ68.1BMI less than 20Z68.20BMI 20.0-20.9Z68.21BMI 21.0-21.9Z68.22BMI 22.0-22.922 more rows•Dec 29, 2020
Body mass index [BMI] Z68-
Code the provider diagnosis, regardless of documented BMI. The BMI is a screening tool. If a BMI falls into the morbid obesity range, but the provider documents obesity, abstract obesity. Conversely, if the BMI falls into the range for obesity, but the provider documents morbid obesity, abstract morbid obesity.
Body mass index (BMI) is a computation based on a patient’s weight and height. This calculation is used as a screening tool for providers. In most electronic health records, a patient’s BMI is auto-generated into their vitals data from a height and weight measurement obtained at the beginning of the visit.#N#BMI screening can be reported as a quality measure (Quality ID #128) in the Merit-based Incentive Payment System (MIPS). This measure identifies the percentage of adult patients with a BMI outside of normal parameters, for whom a follow-up plan is documented. For MIPS, performance may or may not be met by reporting one of the following HCPCS Level II codes:#N#G8417 BMI is documented above normal parameters and a follow-up plan is documented#N#G8418 BMI is documented below normal parameters and a follow-up plan is documented#N#G8419 BMI documented outside normal parameters, no follow-up plan documented, no reason given#N#G8420 BMI is documented within normal parameters and no follow-up plan is required#N#G8421 BMI not documented and no reason is given#N#G8422 BMI not documented, documentation the patient is not eligible for BMI calculation#N#G8938 BMI is documented as being outside of normal limits, follow-up plan is not documented, documentation the patient is not eligible#N#G9716 BMI is documented as being outside of normal limits, follow-up plan is not completed for documented reason#N#Note: Both denominator and numerator criteria must be met. Refer to MIPS quality measure specifications for requirements, available at qpp.cms.gov.
Morbid obesity is weighted as the rough equivalent of cerebral palsy or chronic pancreatitis in risk and resource utilization. Remember to pay attention to the nuances of correct coding of morbid obesity to receive appropriate MIPS bonuses and proper risk adjustment reimbursement.
Obesity Is a Common Diagnosis. According to the U.S. Department of Health and Human Services (HHS) National Institute of Health, 5.5 percent of men and 9.9 percent of women in the United States are morbidly obese.
A diagnosis not ed in the history of present illness (HPI), assessment, or discharge summary suffices without other support. Always report BMI documented with other weight-related diagnoses when they are supported and abstracted from the medical record. Do not report a diagnosis of overweight without additional support.
G8938 BMI is documented as being outside of normal limits, follow-up plan is not documented, documentation the patient is not eligible. G9716 BMI is documented as being outside of normal limits, follow-up plan is not completed for documented reason. Note: Both denominator and numerator criteria must be met.
8. Comorbidities do not change a documented diagnosis of obesity into morbid obesity. Comorbidities — including obstructive sleep apnea, hypertension, and diabetes — do not affect the weight-related diagnosis from the provider. The provider will consider the comorbidities when determining the weight diagnosis.