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Home/Diagnosis/ICD-10 Coding for Pediatric Body Mass Index

ICD-10 Coding for Pediatric Body Mass Index

Z68.51
Z68.52
Z68.53

Complete ICD-10-CM coding and documentation guide for icd-10 coding for pediatric body mass index includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Pediatric BMI
Childhood BMI
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Key Information: ICD-10 Coding for Pediatric Body Mass Index

Essential facts and insights about ICD-10 Coding for Pediatric Body Mass Index

Use ICD-10 code Z68.51 for bmi pediatric, less than 5th percentile for age, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

BMI pediatric, less than 5th percentile for age

Billable Code
Z68.51
Billable

Diagnostic Criteria

  • • BMI less than 5th percentile on CDC growth chart

Applicable To

  • • Underweight

Important Notes

  • • Ensure documentation includes specific BMI percentile and associated clinical findings.

BMI pediatric, 5th percentile to less than 85th percentile for age

Billable Code
Z68.52
Billable

Diagnostic Criteria

  • • BMI between 5th and 84th percentile on CDC growth chart

Applicable To

  • • Normal weight

Important Notes

  • • Document BMI percentile and confirm normal growth pattern.

BMI pediatric, 85th percentile to less than 95th percentile for age

Billable Code
Z68.53
Billable

Diagnostic Criteria

  • • BMI between 85th and 94th percentile on CDC growth chart

Applicable To

  • • Overweight

Important Notes

  • • Provider must document overweight status linked to BMI percentile.

BMI pediatric, greater than or equal to 95th percentile for age

Billable Code
Z68.54
Billable

Diagnostic Criteria

  • • BMI greater than or equal to 95th percentile on CDC growth chart

Applicable To

  • • Obesity

Important Notes

  • • Obesity must be explicitly documented by the provider.
Ancillary Codes

Additional codes that may be used with this diagnosis

R63.6

Underweight

Use when underweight is documented alongside low BMI percentile.

E66.9

Obesity, unspecified

Use alongside Z68.54 when obesity is documented.

Frequently Asked Questions

What is the ICD-10 code for pediatric BMI?

ICD-10 codes for pediatric BMI range from Z68.51 to Z68.54, covering BMI percentiles for ages 2-19.

How is pediatric BMI documented?

Pediatric BMI is documented using CDC growth charts to determine the percentile, which must be linked to a diagnosis.

When should pediatric BMI codes be used?

Use pediatric BMI codes when BMI percentiles are documented alongside a relevant diagnosis such as obesity or underweight.

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