New code ยท FY2027
Billable: use this code on claims.
- New code, effective October 1, 2026 (FY2027). Before that, this condition was coded as Z68.1.
Code breakdown
Z68.19
- Z68CategoryBody mass index [BMI]
- 1Character 4Body mass index [BMI] 19.9 or less, adult
- 9Character 5Body mass index [BMI] 18.5-19.9, adult
Coding notes
Inclusion terms (from Z68)
- Kilograms per meters squared
Notes (from Z68)
- 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)
Medicare coverage
Z68.19 is listed as a covered diagnosis in 7 Medicare billing and coding articles:
- A56938 Billing and Coding: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
- A56953 Billing and Coding: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
- A57092 Billing and Coding: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea
- A57149 Billing and Coding: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea
- A57944 Billing and Coding: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea
- A57948 Billing and Coding: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
- A58075 Billing and Coding: Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea
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ICD-10-CM codes and descriptions are from the CMS and NCHS code files. Coverage is from the CMS Medicare Coverage Database billing and coding articles.