Billing for BMI

Please report the adult BMI as a non-primary diagnosis using ICD-10 codes Z68.1 - Z68.45. BMI adult codes are for use for persons 20 years and older.

Effective for services on 10/01/2019 and after, adult BMI codes are used for persons 20 years and older.  For services rendered prior to 10/01/2019, the adult BMI codes were used for persons 21 years and older.

Adult BMI

ICD-10-CM Code Adult BMI Range
Z68.1 BMI less than 20
Z68.20 BMI 20.0-20.9
Z68.21 BMI 21.0-21.9
Z68.22 BMI 22.0-22.9
Z68.23 BMI 23.0-23.9
Z68.24 BMI 24.0-24.9
Z68.25 BMI 25.0-25.9
Z68.26 BMI 26.0-26.9
Z68.27 BMI 27.0-27.9
Z68.28 BMI 28.0-28.9
Z68.29 BMI 29.0-29.9
Z68.30 BMI 30.0-30.9
Z68.31 BMI 31.0-31.9
Z68.32 BMI 32.0-32.9
Z68.33 BMI 33.0-33.9
Z68.34 BMI 34.0-34.9
Z68.35 BMI 35.0-35.9
Z68.36 BMI 36.0-36.9
Z68.37 BMI 37.0-37.9
Z68.38 BMI 38.0-38.9
Z68.39 BMI 39.0-39.9
Z68.41 BMI 40.0-44.9
Z68.42 BMI 45.0-49.9
Z68.43 BMI 50.0-59.9
Z68.44 BMI 60.0-69.9
Z68.45 BMI 70 and over

Please report the pediatric BMI percentile as a non-primary diagnosis using ICD-10 codes Z68.51 - Z68.54. BMI pediatric codes are for use for persons between 2 and 19 years old.

Effective for services on 10/01/2019 and after, pediatric BMI codes are used for persons between 2 and 19 years old.  For services rendered prior to 10/01/2019, the pediatric BMI codes were used for persons between 2 and 20 years old.

Pediatric BMI Percentile

ICD-10-CM Code Pediatric BMI Percentile Range
Z68.51 BMI, less than 5th percentile for age
Z68.52 BMI, 5th percentile to less than 85th percentile for age
Z68.53 BMI, 85th percentile to less than 95th percentile for age
Z68.54 BMI, greater than or equal to 95th percentile for age
Z68.55 BMI, 120% of the 95th percentile for age to less than 140% of the 95th percentile for age
Z68.56 BMI, greater than or equal to 140% of the 95th percentile for age

Revision History

Date Nature of Revision
08/03/2026

Migrated to new platform