E66 ICD-10-CM Code: Overweight and obesity
HCC Buddy Code Card
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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 guidanceOverweight and obesity
Overweight and obesity
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-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
Includes
OfficialICD-10-CM does not list Includes notes for E66 in this effective period.
Excludes 1
OfficialICD-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
OfficialICD-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
Use Additional Code
Code First
- obesity complicating pregnancy, childbirth and the puerperium, if applicable (O99.21-)