InnovaRx Innova Health Strategies

Z68.42

Body mass index [BMI] 45.0-49.9, adult

Billable FY2026 2025-10-01 → 2026-09-30 valid age >= 15
Instructional notes 7
Z68code
Notes
  • BMI adult codes are for use for persons 20 years of age or older
  • BMI pediatric codes are for use for persons 2-19 years of age.
  • These percentiles are based on the growth charts published by the Centers for Disease Control and Prevention (CDC)
Inclusion terms
  • Kilograms per meters squared
Z00-Z99chapter
Notes
  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:Z00-Z99A00-Y89
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Index entries leading here 1
  • Body, bodies
    • mass index (BMI)
Alongside this code 4 same parent — Z68.4
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC22 CMS28HCC48 ESRD21HCC22 ESRD24HCC22

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This code

Billable
yes
Code set
FY2026
Parent
Z68.4
Siblings
4

Present FY2024–FY2027.