![]() According to Coding Clinic, Fourth Quarter, 2018, the ICD-10-CM manual does not identify a list of conditions that can be considered associated with a BMI. I have been asked if there could be situations where another weight-related diagnosis, such as sleep apnea, diabetes, or hypertension, could make the use of a BMI code relevant. ![]() I know this can be an issue since the various types of reimbursement methodologies, such as risk adjustment, include the BMI codes, but these codes were always meant to be accompanied by a corresponding diagnosis code.Ĭoding Clinic, Fourth Quarter, 2018, specifically states that the provider must provide documentation of a clinical condition such as obesity or overweight to justify the reporting of a code for BMI. ![]() BMI codes need to be supported as medically relevant by an associated diagnosis that is considered a reportable diagnosis.Ĭoding professionals must remember that BMI codes were never intended to be used as standalone codes. Q: Can an ICD-10-CM body mass index (BMI) code be used as a standalone code? If not, what documentation should we look for to justify the use of a BMI code?Ī: The 2019 ICD-10-CM Official Guidelines for Coding and Reporting state you cannot use a BMI code (found in ICD-10-CM code category Z68.-) alone.
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