What are the new codes for obesity?

Asked by: Amaya Heaney  |  Last update: May 26, 2025
Score: 5/5 (8 votes)

To increase accuracy and available treatment options for adults with obesity, use the new E-codes (E66. 811, E66. 812, and E66. 813) together with the existing Z-codes.

What new changes are present when coding obesity?

New ICD-10-CM Codes for Adult and Childhood Obesity

The new ICD-10-CM diagnosis codes (Class 1: E66. 811, Class 2: E66. 812, and Class 3 E66. 813) for adult and childhood obesity will enhance accuracy in obesity classification.

What are the obesity classifications for 2024?

Overweight and Underweight Categories: Underweight < 18.5; Normal weight 18.5-24.9; Overweight 25-29.9; Obese class I 30-34.9; Obese class II 35-39.9; Obese class III >= 40 (Garvey et al., 2016).

What is the coding guideline for obesity?

Any patient with BMI > 40 should be evaluated for severe obesity with the appropriate diagnosis code assigned: E66. 01 – Morbid (severe) obesity due to excess calories. It is important to evaluate and code for severe obesity in patients with comorbidities, even if the BMI is below 40.

What is the new ICD-10 code for obesity?

To increase accuracy and available treatment options for adults with obesity, use the new E-codes (E66. 811, E66. 812, and E66. 813) together with the existing Z-codes.

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18 related questions found

What are the 5 steps of the obesity code?

The Obesity code!
  • Reducing sugars and processed foods.
  • Getting carbs from mainly whole foods.
  • cycling carbs.
  • Cycling fasting.
  • Increases good dietary fats.
  • Ensuring that we're partnering carbs with proteins and fats to dampen the insulin output.

What is the code E66 for obesity?

ICD-10 code E66 for Overweight and obesity is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .

Where can I get a list of ICD-10 codes?

ICD10Data.com is a free reference website designed for the fast lookup of all current American ICD-10-CM (diagnosis) and ICD-10-PCS (procedure) medical billing codes.

What is the ICD-10 code for weight gain 2025?

2025 ICD-10-CM Diagnosis Code R63. 5: Abnormal weight gain.

What are the new criteria for obesity?

The diagnosis of clinical obesity includes 1 or both of the criteria defined as: “evidence of reduced organ or tissue function due to obesity (ie, signs, symptoms, or diagnostic tests showing abnormalities in the function of one or more tissue or organ system); or substantial, age-adjusted limitations of daily ...

What are the 4 types of obesity?

Four phenotypes of obesity have been described, based on body fat composition and distribution: (1) normal weight obese; (2) metabolically obese normal weight; (3) metabolically healthy obese; and (4) metabolically unhealthy obese. Sarcopenic obesity has been characterized, related to all the described phenotypes.

What is the new medical term for obesity?

They propose two categories: preclinical obesity, when a person has extra body fat but their organs work normally, and clinical obesity, when excess fat harms the body's organs and tissues.

What BMI is morbid obesity?

Individuals are usually considered morbidly obese if their weight is more than 80 to 100 pounds above their ideal body weight. A BMI above 40 indicates that a person is morbidly obese and therefore a candidate for bariatric surgery.

What are the new ICD-10 changes for 2024?

The new updates to the ICD-10-CM code system for fiscal year 2024 include 395 new billable codes in areas such as external causes of morbidity, social determinants of health (SDOH), and osteoporosis.

What is the medical code 899?

899 is a specific diagnosis code that indicates ongoing drug therapy for chronic or long-term conditions. This code highlights the importance of carefully managing and monitoring patients who require continuous drug therapy to maintain their health and manage their condition.

What is the ICD-10 code for no money?

ICD-10 code Z59. 86 for Financial insecurity is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

How to code for obesity?

and Body Mass Index (BMI)

should be documented by the patient's provider. Codes for overweight, obesity or morbid obesity are assigned based on the provider's documentation of these conditions. Therefore, if morbid obesity is documented, assign code E66. 01, Morbid (severe) obesity due to excess calories.

What is class I obesity?

These ranges of BMI are used to describe levels of risk: Overweight (not obese), if BMI is 25.0 to 29.9. Class 1 (low-risk) obesity, if BMI is 30.0 to 34.9. Class 2 (moderate-risk) obesity, if BMI is 35.0 to 39.9. Class 3 (high-risk) obesity, if BMI is equal to or greater than 40.0.

What ICD-10 codes cover Ozempic?

Ozempic is an injectible non-insulin antidiabetic medication, so you could use Z79. 85.

What is the 5210 rule for obesity?

5 servings of fruits and vegetables per day. A limitation of 2 hours or less of media consumption per day. 1 hour of physical activity. 0 sugar-sweetened beverages.

What are the 4 stages of obesity?

Let's break it down:
  • Stage 1 – Overweight BMI 25-29.9. While not obese yet, your weight is higher than recommended for your height. ...
  • Stage 2 – Class I Obesity BMI 30-34.9. You've officially crossed into obesity territory. ...
  • Stage 3 – Class II Obesity BMI 35-39.9. ...
  • Stage 4 – Class III Obesity BMI 40+

What do you eat on the obesity code?

His basic recommendations:
  • Reduce sugar. Especially fructose, sucrose, and high fructose corn syrup. ...
  • No snacking. Are you hungry or are you bored? ...
  • Breakfast ONLY if you are hungry. ...
  • Drinks. ...
  • Avoid refined grains. ...
  • Protein, but in moderation. ...
  • Increase eating natural fats. ...
  • Increase fiber.