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Home/Diagnosis/ICD-10 Coding for Wegovy® (semaglutide) for Obesity Management

ICD-10 Coding for Wegovy® (semaglutide) for Obesity Management

E66.01
E66.3

Complete ICD-10-CM coding and documentation guide for icd-10 coding for wegovy® (semaglutide) for obesity management includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Semaglutide
Wegovy
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Key Information: ICD-10 Coding for Wegovy® (semaglutide) for Obesity Management

Essential facts and insights about ICD-10 Coding for Wegovy® (semaglutide) for Obesity Management

Use ICD-10 code E66.01 for morbid (severe) obesity due to excess calories, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Morbid (severe) obesity due to excess calories

Billable Code
E66.01
Billable

Diagnostic Criteria

clinical:
  • • BMI ≥40 with comorbidities
documentation:
  • • Documented participation in weight loss program

Applicable To

  • • Morbid obesity with alveolar hypoventilation

Important Notes

  • • Ensure documentation of lifestyle modifications and prior weight loss attempts.

Overweight

Billable Code
E66.3
Billable

Diagnostic Criteria

clinical:
  • • BMI 27-29.9
  • • Documented cardiovascular disease

Applicable To

  • • Overweight with BMI 27-29.9

Important Notes

  • • Document weight-related comorbidities clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z68.41

BMI 40.0-44.9, adult

Document BMI alongside primary obesity code.

Z68.27

BMI 27.0-27.9, adult

Document BMI alongside primary overweight code.

Frequently Asked Questions

What is the ICD-10 code for Wegovy?

The ICD-10 code for Wegovy use in obesity management is primarily E66.01 for morbid obesity, with additional codes for BMI documentation.

How to document Wegovy for insurance?

Document BMI, comorbidities, and prior weight loss attempts. Include lifestyle modifications and therapy failures for insurance approval.

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