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E66

Non-Billable (Header)

Overweight and obesity

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

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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