tci ED Coding & Reimbursement Alert - 2023 Issue Q3

Reader Questions: Use This Guidance for Adult BMI

Question: An obese patient with gastrointestinal issues came into the ED, and the provider suspected the patient’s obesity was related to the stomach problems. However, the patient is 18. Should I code the body mass index (BMI) with the adult code or the pediatric code? Georgia Subscriber Answer: Even though an 18-year-old is often considered a technical adult, the Body Mass Index (BMI) (Z68) section of the ICD-10 explains that BMI adult codes are for patients 20 years of age or older and BMI pediatric codes are for patients ages 2 to 19. Therefore, an 18-year-old patient’s...

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