ICD-10 Coding for Obesity with BMI 30-39.9(E66.01, E66.09)
Complete ICD-10-CM coding and documentation guide for Obesity with BMI 30-39.9. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Obesity with BMI 30-39.9
E66.0-E66.9Primary Range
Obesity codes including morbid and unspecified obesity
Primary range for obesity diagnosis based on BMI and comorbidities.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E66.01 | Morbid (severe) obesity due to excess calories | Use when BMI is 35-39.9 with documented comorbidities. |
|
| E66.09 | Other obesity due to excess calories | Use when BMI is 30-39.9 without comorbidities. |
|
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 obesity BMI 30-39.9
Essential facts and insights about Obesity with BMI 30-39.9
Primary ICD-10-CM Codes for obesity body mass index 30-39.9
Decision Criteria
clinical Criteria
- BMI ≥35 with comorbidities
documentation Criteria
- Provider must document obesity and related comorbidities
Applicable To
- Morbid obesity with BMI 35-39.9 and comorbidities
Clinical Validation Requirements
- BMI ≥35 with documented comorbidities such as hypertension or diabetes
Code-Specific Risks
- Incorrectly coding without comorbidity documentation
Coding Notes
- Ensure comorbidities are documented to justify E66.01.
E66.09 - Other obesity due to excess calories
Use when BMI is 30-39.9 without comorbidities.
Applicable To
- Obesity with BMI 30-39.9 without comorbidities
Excludes
- Morbid obesity (E66.01)
Clinical Validation Requirements
- BMI 30-39.9 without documented comorbidities
Coding Notes
Ensure BMI is documented without comorbidities.
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 Obesity with BMI 30-39.9 to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E66.01.
Impact
Clinical: May lead to under-treatment of obesity., Regulatory: Fails to meet coding standards., Financial: Potential loss of reimbursement opportunities.
Mitigation Strategy
Ensure provider links BMI to obesity in documentation.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure comorbidities are documented before using E66.01.
Impact
Risk of audit if E66.01 is used without documented comorbidities.
Mitigation Strategy
Ensure comorbidities are clearly documented.
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 Obesity with BMI 30-39.9, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Obesity with BMI 30-39.9
Use these documentation templates to ensure complete and accurate documentation for Obesity with BMI 30-39.9. These templates include all required elements for proper coding and billing.
Primary Care Visit for Obesity Management
Specialty: Primary CareRequired Elements
- BMI documentation
- Obesity diagnosis
- Comorbidity assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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