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E66 ICD-10-CM Code: Overweight and obesity

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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Overweight, obesity and other hyperalimentation (E65-E68)

E66

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Overweight and obesity

Overweight and obesity

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
E6Overweight, obesity and other hyperalimentation (E65-E68)
E66Overweight and obesity

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E66 in this effective period.

Excludes 2

Official
  • adiposogenital dystrophy (E23.6)
  • lipomatosis dolorosa [Dercum] (E88.2)
  • lipomatosis NOS (E88.2)
  • Prader-Willi syndrome (Q87.11)

Related Child Codes

Official
E66.0Obesity due to excess calories
E66.1Drug-induced obesity
E66.2Morbid (severe) obesity with alveolar hypoventilation
E66.3Overweight
E66.8Other obesity

Includes

Official

ICD-10-CM does not list Includes notes for E66 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for E66 in this effective period.

Code First

Official
  • obesity complicating pregnancy, childbirth and the puerperium, if applicable (O99.21-)

Use Additional

Official
  • code to identify body mass index (BMI), if known, for adults (Z68.1-Z68.45) or pediatrics (Z68.5-)

Code Also

Official

ICD-10-CM does not list Code Also instructions for E66 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

E66 is the ICD-10-CM diagnosis code for overweight and obesity. E66 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering overweight, obesity and other hyperalimentation (e65-e68).

Header codes like E66 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at E66's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E66 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • adiposogenital dystrophy (E23.6)
  • lipomatosis dolorosa [Dercum] (E88.2)
  • lipomatosis NOS (E88.2)
  • Prader-Willi syndrome (Q87.11)

Use Additional Code

  • code to identify body mass index (BMI), if known, for adults (Z68.1-Z68.45) or pediatrics (Z68.5-)

Code First

  • obesity complicating pregnancy, childbirth and the puerperium, if applicable (O99.21-)

Child Codes

Code Hierarchy

E66Overweight and obesity
E66Overweight and obesity

More on E66

Related condition guides

Referenced in blog posts

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