ICD-10 Coding for History of Obesity(Z87.898, E66.01)
Complete ICD-10-CM coding and documentation guide for History of Obesity. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Obesity
Z87.898Primary Range
Other personal history of diseases classifiable elsewhere
Used for documenting resolved obesity with no current treatment or abnormal BMI.
Morbid (severe) obesity due to excess calories
Active diagnosis requiring explicit provider documentation.
Body Mass Index (BMI) 30.0-39.9 and BMI ≥40
Used to document BMI values in conjunction with obesity diagnosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z87.898 | Other personal history of diseases classifiable elsewhere | Use when obesity is resolved and there is no current treatment or abnormal BMI. |
|
| E66.01 | Morbid (severe) obesity due to excess calories | Use for active morbid obesity with appropriate documentation. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for history of obesity
Essential facts and insights about History of Obesity
Primary ICD-10-CM Codes for history of obesity
Decision Criteria
documentation Criteria
- Obesity must be documented as resolved with no current treatment.
Applicable To
- Resolved obesity
Excludes
- Current obesity
Clinical Validation Requirements
- Normal BMI
- No current obesity treatment
Code-Specific Risks
- Incorrectly used for active obesity cases
Coding Notes
- Ensure obesity is documented as resolved with normal BMI.
E66.01 - Morbid (severe) obesity due to excess calories
Use for active morbid obesity with appropriate documentation.
Applicable To
- Morbid obesity
Excludes
- Obesity, unspecified
Clinical Validation Requirements
- BMI ≥40 or BMI 35-39.9 with comorbidity
- Provider documentation of morbid obesity
Coding Notes
Ensure provider documentation explicitly states 'morbid obesity'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Obesity to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.898.
Impact
Clinical: Misrepresents patient's current health status., Regulatory: Triggers audits due to incorrect coding., Financial: Potential for denied claims.
Mitigation Strategy
Verify current obesity status, Consult provider documentation
Impact
Reimbursement: Incorrect coding may lead to overpayments., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate health records and data reporting.
Mitigation Strategy
Query the provider to confirm morbid obesity diagnosis.
Impact
Coding E66.01 without proper documentation.
Mitigation Strategy
Require provider confirmation of morbid obesity.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for History of Obesity, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Obesity
Use these documentation templates to ensure complete and accurate documentation for History of Obesity. These templates include all required elements for proper coding and billing.
Primary Care Progress Note
Specialty: Primary CareRequired Elements
- Obesity Status
- Diagnostic Statement
- BMI
- Related Conditions
- Treatment Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for History of Obesity? Ask your questions below.