Get our CDI Pocket Guide® for more information about obesity and BMI. On the other hand, if no serious comorbid condition is documented within the record, code E66.01 is not clinically valid. The treating clinician should be consulted and asked to document a diagnosis such as overweight, obesity, morbid obesity etc. If morbid or severe obesity is documented for a patient with a BMI 35-39.9 and who has a serious comorbid-related condition, code E66.01 is assigned.
The NIH further indicates that a BMI of 35-39.9 without comorbidity is “obesity.”įrom a coding standpoint, ICD-10 code E66.01 includes both “morbid” and “severe” obesity. The NIH definition conforms to the indications for bariatric surgery. Three or more of the following risk factors also confer high absolute risk: hypertension, cigarette smoking, high low-density lipoprotein cholesterol, low high-density lipoprotein cholesterol, impaired fasting glucose, family history of early cardiovascular disease, and age (male ≥ 45 years, female ≥ 55 years). According to the NIH report, those diseases or conditions that denote serious comorbid conditions and high absolute risk are established coronary heart disease, other atherosclerotic diseases, type 2 diabetes, and sleep apnea.
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