Z68.35

Body mass index [BMI] 35.0-35.9, adult

FY2027Chapter 21: Factors influencing health status and contact with health services/Z68 Body mass index [BMI]

BillableComplete code, valid to report
  • POA exempt

Z68.35 (also written Z6835) is a billable ICD-10-CM diagnosis code for body mass index [BMI] 35.0-35.9, adult. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 33 codes in category Z68 (Body mass index [BMI]). The Alphabetic Index lists it under 1 entry.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Pressure ulcer stage, ulcer depth, BMI, NIHSS and coma scale may be coded from other clinicians' documentation. The diagnosis itself must be documented by the patient's provider.

Guidelines I.B.14Documentation by clinicians other than the providerRead the official text

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Hospice: not accepted as primary

Not accepted as the principal diagnosis on a hospice claim (bill types 081x and 082x). The Integrated OCE returns an edit for this code.
Reason: Supplementary or additional code, not allowed as principal diagnosis.

Source: CMS Integrated Outpatient Code Editor (IOCE) v27.3, effective October 1, 2026, edit 113

Notes

Inherited from Z68 Body mass index [BMI]
  • 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)
Also from chapter/block level (3 notes)
Inherited from Chapter 21 Factors influencing health status and contact with health services
  • 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:
    • (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.

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 1 entry