Z68.5
Z68.5 — Body mass index [BMI] pediatric
Non-billable headerICD-10-CM
Z68.5 is a non-billable header ICD-10-CM code for body mass index [bmi] pediatric. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
Z68.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead Z68.5
6 child codes. Green means billable.
- Z68.51Body mass index [BMI] pediatric, less than 5th percentile for age
- Z68.52Body mass index [BMI] pediatric, 5th percentile to less than 85th percentile for age
- Z68.53Body mass index [BMI] pediatric, 85th percentile to less than 95th percentile for age
- Z68.54Body mass index [BMI] pediatric, 95th percentile for age to less than 120% of the 95th percentile for age
- Z68.55Body mass index [BMI] pediatric, 120% of the 95th percentile for age to less than 140% of the 95th percentile for age
- Z68.56Body mass index [BMI] pediatric, greater than or equal to 140% of the 95th percentile for age
Related codes at this level
Codes that share Z68. If Z68.5 is not quite right, the correct code is usually one of these.
Questions about Z68.5
- Is Z68.5 a billable ICD-10-CM code?
- No. Z68.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z68.5 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Body mass index [BMI] (Z68).