Z68.5
Body mass index [BMI] pediatric
Z68.5 is a non-billable ICD-10-CM code header for body mass index [BMI] pediatric. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are Z68.51 Body mass index [BMI] pediatric, less than 5th percentile for age; Z68.52 Body mass index [BMI] pediatric, 5th percentile to less than 85th percentile for age; Z68.53 Body mass index [BMI] pediatric, 85th percentile to less than 95th percentile for age; Z68.54 Body mass index [BMI] pediatric, 95th percentile for age to less than 120% of the 95th percentile for age and 2 more.
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.
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)
Also from chapter/block level (3 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:
- (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.
More specific codes under Z68.5 6
- Z68.51Body mass index [BMI] pediatric, less than 5th percentile for ageBillable
- Z68.52Body mass index [BMI] pediatric, 5th percentile to less than 85th percentile for ageBillable
- Z68.53Body mass index [BMI] pediatric, 85th percentile to less than 95th percentile for ageBillable
- Z68.54Body mass index [BMI] pediatric, 95th percentile for age to less than 120% of the 95th percentile for ageBillable
- Z68.55Body mass index [BMI] pediatric, 120% of the 95th percentile for age to less than 140% of the 95th percentile for ageBillable
- Z68.56Body mass index [BMI] pediatric, greater than or equal to 140% of the 95th percentile for ageBillable