For patients with provider documentation identifying “morbid” obesity, the code E66. 01 (morbid [severe] obesity due to excess calories) can be assigned even if the BMI is not greater than 40, per the Coding Clinic.
What is the ICD-10 code for morbid obesity?
E66. 01 is morbid (severe) obesity from excess calories.
Is obesity a billable diagnosis?
ICD-Code E66* is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Overweight and Obesity. Its corresponding ICD-9 code is 278. Code E66* is the diagnosis code used for Overweight and Obesity.
Is morbid obesity a CC?
Descriptive terms, such as severe obesity, are not CCs because the significance of the condition is captured more accurately by the BMI codes (Table 2) and clinicians sometimes use a descriptive term that doesn’t match the BMI.
What is the CPT code for obesity?
Medical nutritional therapy codes (97802, 97803, S9470) may be billed when counseling patients on obesity or weight management. These codes are compatible with any diagnosis but are most appropriate or intended for illness or disease-related diagnoses such as obesity or diabetes.
What is the ICD-10 code for obesity class 2?
Morbid (severe) obesity due to excess calories
E66. 01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What are the three levels of 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 is code E66 9?
ICD-10 Code for Obesity, unspecified- E66. 9- Codify by AAPC.
How do you file morbid obesity?
To accurately code a patient as morbidly obese, the provider must document the patient’s obesity in the medical record. Per 2020 ICD-10-CM Guidelines, “BMI codes should only be assigned when there is an associated, reportable diagnosis (such as morbid obesity). Do not assign BMI codes during pregnancy.”
Can we code BMI without obesity?
Can BMI codes be assigned without a corresponding documented diagnosis of overweight, obesity or morbid obesity from the provider? Answer: No, the provider must provide documentation of a clinical condition, such as overweight, obesity or morbid obesity, to justify reporting a code for the body mass index.
How long can a morbidly obese person live?
A study has found that extreme obesity cuts short life expectancy an average of 6 1/2 years for those at the low end of “extremely obese,” and almost 14 years for those at the high end.
What is morbidly obese weight?
Individuals are usually considered morbidly obese if their weight is more than 80 to 100 pounds above their ideal body weight.
Is morbid obesity a disability?
The Social Security Administration (SSA) lists obesity as a complex and chronic condition due to excessive body fat. … Morbid obesity is defined as anyone with a BMI over 40. If you are obese or morbidly obese, that alone won’t qualify you for disability benefits.
What does CPT code 99401 mean?
CPT® 99401, Under Preventive Medicine, Individual Counseling Services. The Current Procedural Terminology (CPT®) code 99401 as maintained by American Medical Association, is a medical procedural code under the range – Preventive Medicine, Individual Counseling Services.
Is there a CPT code for weight check?
This policy describes Optum’s requirements for the reimbursement and documentation of “Obesity Screening and Counseling” – CPT codes 99401 and 99402, and HCPCS procedural codes G0446, G0447 and G0473.
What does CPT code 97802 mean?
CPT Code. Description. 97802. Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes.