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E66.1 ICD-10-CM Code: Drug-induced obesity

ICD-10-CM Code View

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)

E66.1

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Drug-induced obesity

Weight gain and obesity caused as a side effect of medications.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
E66Overweight and obesity
E66.1Drug-induced obesity

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E66.1 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
E66.2Morbid (severe) obesity with alveolar hypoventilation
E66.3Overweight
E66.8Other obesity
E66.9Obesity, unspecified

Includes

Official

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

Excludes 1

Official

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

Code First

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

Use Additional

Official
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Code Also

Official

ICD-10-CM does not list Code Also instructions for E66.1 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Drug-induced obesity, obesity specifically attributed by the provider to a medication (common offenders: antipsychotics, corticosteroids, insulin, some anticonvulsants). Provider must document the causal relationship.
Do not assume drug-induced obesity from medication lists alone, the provider must make the etiologic link. Without that documentation, E66.09 (or E66.01 if morbid) is the correct code.
E66.1 does not map to a V28 payment HCC. Chart completeness code only.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is E66.1 an HCC code?

No. E66.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
E66.1
Description
Drug-induced obesity
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

E66.1 is the ICD-10-CM diagnosis code for drug-induced obesity. Weight gain and obesity caused as a side effect of medications. E66.1 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).

E66.1 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Drug-induced obesity, obesity specifically attributed by the provider to a medication (common offenders: antipsychotics, corticosteroids, insulin, some anticonvulsants). Provider must document the causal relationship.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E66.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Drug-induced obesity, obesity specifically attributed by the provider to a medication (common offenders: antipsychotics, corticosteroids, insulin, some anticonvulsants). Provider must document the causal relationship.
  • Do not assume drug-induced obesity from medication lists alone, the provider must make the etiologic link. Without that documentation, E66.09 (or E66.01 if morbid) is the correct code.
  • E66.1 does not map to a V28 payment HCC. Chart completeness code only.

Use Additional Code

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Child Codes

Code Hierarchy

More on E66.1

Related condition guides

Referenced in blog posts

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