A: Interestingly, even though the physician may document that the patient is obese, based on the 2019 ICD-10-CM Official Guidelines for Coding and Reporting, BMI codes can’t be assigned for pregnant patients.
Can we code BMI codes for pregnant patients?
The new guideline does state “do not assign BMI codes during pregnancy.” A female of normal weight at conception that gains the recommended 25 to 35 pounds during the pregnancy will have a BMI that measures in the overweight range at the time of delivery.
Does BMI take into account pregnancy?
How much weight you should gain during pregnancy is based on your body mass index (BMI) before pregnancy. BMI is a measure of body fat calculated from weight and height. Healthy Weight Gain During Pregnancy from the Institute of Medicine.
When do you code BMI?
BMI codes should only be assigned when the associated diagnosis (such as overweight or obesity) meets the definition of a reportable diagnosis. Keep in mind that that BMI codes were never intended to be used as standalone codes; they were always meant to be accompanied by a corresponding diagnosis code.
What is the ICD 10 code for overweight in pregnancy?
Obesity complicating pregnancy, unspecified trimester
O99. 210 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What is the relationship between coding guidelines and code assignment?
Code assignment is based on the provider’s documentation of the relationship between the condition and the care or procedure, unless otherwise instructed by the classification. The guideline extends to any complications of care, regardless of the chapter the code is located.
What is the ICD-10 code for anxiety in pregnancy?
Other mental disorders complicating childbirth
344 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM O99. 344 became effective on October 1, 2021.
What weight is overweight in pregnancy?
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|Pre-pregnancy weight||Recommended weight gain|
|Underweight ( BMI below 18.5)||28 to 40 lbs. (about 13 to 18 kg)|
|Healthy weight ( BMI 18.5 to 24.9)||25 to 35 lbs. (about 11 to 16 kg)|
|Overweight ( BMI 25 to 29.9)||15 to 25 lbs. (about 7 to 11 kg)|
|Obese ( BMI 30 or more)||11 to 20 lbs. (about 5 to 9 kg)|
How can I lower my BMI while pregnant?
How can I safely lose weight during pregnancy?
- Consult with your doctor. Talk to your doctor before you begin an exercise program while pregnant. …
- Treat your pregnancy as an opportunity. …
- Start slowly. …
- Keep a journal. …
- Avoid empty calories. …
- Ditch diet fads. …
- Don’t overdo workouts. …
- Take a prenatal supplement.
Can BMI be coded without obesity?
Coding Clinic has addressed this topic over the years, noting that BMI should not be coded without an associated diagnosis such as overweight or obesity.
Can you code obesity based on BMI?
ICD-10 Official Guidelines2 Document Remember BMI may be documented by any clinician. The treating provider must be the one to document obesity, morbid obesity, or any other diagnosis-related code from a BMI measurement. BMI codes should only be reported as a secondary diagnosis code.
What is class 3 obesity ICD 10?
Class 3 – BMI > = 40.0.
What is the ICD 10 code for overweight?
E66. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What is the ICD-10-CM code for morbid obesity due to excess calories?
E66. 01 is morbid (severe) obesity from excess calories.