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Home/Diagnosis/ICD-10 Coding for Obesity Management with Zepbound

ICD-10 Coding for Obesity Management with Zepbound

E66.811
E66.812

Complete ICD-10-CM coding and documentation guide for icd-10 coding for obesity management with zepbound includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Weight Management with Zepbound
Obesity Treatment with Zepbound
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Key Information: ICD-10 Coding for Obesity Management with Zepbound

Essential facts and insights about ICD-10 Coding for Obesity Management with Zepbound

Use ICD-10 code E66.811 for obesity, class 1, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Obesity, class 1

Billable Code
E66.811
Billable

Diagnostic Criteria

  • • BMI between 30.0 and 34.9 with comorbidity

Applicable To

  • • BMI 30.0-34.9

Important Notes

  • • Ensure BMI is documented within 30 days of the encounter.

Obesity, class 2

Billable Code
E66.812
Billable

Diagnostic Criteria

  • • BMI between 35.0 and 39.9 with documented lifestyle modification failure

Applicable To

  • • BMI 35.0-39.9

Important Notes

  • • Lifestyle modification must be documented over a minimum of 3 months.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z68.30

BMI 30.0-30.9, adult

Use alongside E66.811 to specify BMI.

Z68.35

BMI 35.0-35.9, adult

Use alongside E66.812 to specify BMI.

Frequently Asked Questions

What is the ICD-10 code for Zepbound?

The ICD-10 codes for Zepbound treatment include E66.811 for Class 1 obesity and E66.812 for Class 2 obesity, depending on BMI and comorbidities.

How do you document obesity for Zepbound?

Document the exact BMI with the measurement date, specify the obesity class, and include any weight-related comorbidities.

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