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Z68.53

Billable

Body mass index [BMI] pediatric, 85th percentile to less than 95th percentile for age

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

What This Code Means

A child is overweight, meaning their weight is above the normal range but not yet in the obese category for their age.

Coding Tips

  • Use when pediatric BMI is at or above the 85th percentile but below the 95th percentile for age
  • This code indicates increased health risk and may warrant counseling on nutrition and physical activity

Code Hierarchy

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