AHA Coding Clinic® for ICD-9 - 2010 Issue 2; Clarifications
Body Mass Index (BMI) Reporting
There has been some confusion as to whether nursing staff documentation is acceptable for assigning the body mass index (BMI). Since hospitals are allowed to code the BMI based on the dietitian's documentation, it would seem reasonable to assign the BMI based on the nurse's documentation as well. Can coders use nursing documentation to assign the BMI? ...
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Article Overview
This article explains a documentation question in hospital coding about body mass index reporting and how medical record sources are treated under the Official Guidelines for Coding and Reporting. It is relevant to coders, CDI staff, and compliance teams who need to understand what kinds of clinician documentation may support BMI assignment and how this topic fits into broader reporting guidance.
Why This Topic Matters
BMI reporting can affect coded data quality and quality reporting, so understanding acceptable documentation sources helps support consistent abstraction and reduce avoidable coding disputes.
What You Will Learn
- How the article frames the documentation source question for BMI reporting
- What general guidance is referenced for assigning BMI from clinician documentation
- Why this topic matters for hospital coding documentation practices
- How the article connects BMI reporting to broader coding and reporting guidance
Who Should Read This
- Medical coders
- Coding auditors
- CDI specialists
- Hospital compliance staff
- Revenue cycle professionals
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