ICD-10 Coding for Obesity Class 2(E66.812)
Complete ICD-10-CM coding and documentation guide for Obesity Class 2. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Obesity Class 2
E66.8Primary Range
Other obesity
This range includes specific codes for different classes of obesity, including Class 2.
Body mass index (BMI) 35.0-39.9, adult
These codes are used to specify the BMI range associated with Class 2 obesity.
Key Information: ICD-10 code for obesity class 2
Essential facts and insights about Obesity Class 2
Primary ICD-10-CM Code for obesity class 2
Decision Criteria
clinical Criteria
- BMI between 35.0 and 39.9 with provider documentation of Class 2 obesity
coding Criteria
- Do not use E66.01 unless 'morbid obesity' is explicitly documented
documentation Criteria
- Provider must document 'Class 2 obesity' or 'severe obesity'
Applicable To
- Severe obesity with BMI 35.0-39.9
Excludes
- Morbid obesity (E66.01)
Clinical Validation Requirements
- BMI between 35.0 and 39.9
- Provider documentation of 'Class 2 obesity' or 'severe obesity'
Code-Specific Risks
- Incorrectly using E66.01 when Class 2 is documented
Coding Notes
- Ensure that BMI codes are linked with the obesity diagnosis for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
BMI 35.0-35.9, adult
Z68.35BMI 36.0-36.9, adult
Z68.36BMI 37.0-37.9, adult
Z68.37BMI 38.0-38.9, adult
Z68.38BMI 39.0-39.9, adult
Z68.39Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Obesity Class 2 to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E66.812.
Impact
Clinical: Inaccurate patient records., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Educate providers on documentation standards., Use templates to ensure complete documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims or reduced reimbursement., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use E66.812 with appropriate BMI code (Z68.35-Z68.39)
Impact
Incorrect use of general obesity codes instead of specific class codes.
Mitigation Strategy
Regular training and audits to ensure compliance.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Obesity Class 2, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Obesity Class 2
Use these documentation templates to ensure complete and accurate documentation for Obesity Class 2. These templates include all required elements for proper coding and billing.
Primary Care Visit
Specialty: Family MedicineRequired Elements
- BMI documentation
- Provider's assessment of obesity class
- Comorbidities
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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