Skip to content

Z68.54

Billable

Body mass index [BMI] pediatric, 95th percentile for age to less than 120% of the 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 has obesity, with weight significantly above the healthy range for their age, representing the first level of pediatric obesity classification.

Coding Tips

  • Document when BMI is at or above the 95th percentile but below 120% of the 95th percentile for age
  • This indicates Class 1 obesity in children; consider documenting associated conditions like hypertension or metabolic issues

Code Hierarchy

Open Z68.54 in the Interactive Encoder

See full code details, AI coding tips, HCC mappings, and related codes in our interactive encoder. Start your 14-day Pro trial — no credit card required.