Z68.55UpcomingBillable / specificExempt from present-on-admission reporting

Body mass index [BMI] pediatric, 120% of the 95th percentile for age to less than 140% of the 95th percentile for age

Claims & coverage

Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

Check Medicare coverage ↗

First observed · 2024-10-01

Code history

Latest recorded change · FY2025

ChangedUnchanged

FY2025

Effective from 2024-10-01

Added

Body mass index [BMI] pediatric, 120% of the 95th percentile for age to less than 140% of the 95th percentile for age

Billable diagnosis code

CDC/NCHS · FY2025

All editions (5)

All editions	Effective from	Code history
FY2025	2024-10-01	Added
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

The official Tabular List has no additional instructions at this code level.

Review the instructions inherited from its parent categories below. Inherited instructions ↓

Review the official coding guidelines ↗

Inherited instructions

Chapters 21 · Factors influencing health status and contact with health services (Z00-Z99)

Note

Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Z68 · Body mass index [BMI]

Inclusion terms

Kilograms per meters squared

Note

BMI adult codes are for use for persons 20 years of age or older
BMI pediatric codes are for use for persons 2-19 years of age.
These percentiles are based on the growth charts published by the Centers for Disease Control and Prevention (CDC)

Official index references (1)

Body, bodies (1)

Body, bodies › mass index(BMI) › pediatric › 120% of the 95th percentile for age to less than 140% of the 95th percentile for ageDisease index

Official conversion history

Historical assignments from the CDC conversion table support data retrieval. They do not authorize substituting a previous code for the current code.

Release dates 2024-10-01

Previous assignment: Z68.54

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
Z68.51	Body mass index [BMI] pediatric, less than 5th percentile for age	Billable / specific
Z68.52	Body mass index [BMI] pediatric, 5th percentile to less than 85th percentile for age	Billable / specific
Z68.53	Body mass index [BMI] pediatric, 85th percentile to less than 95th percentile for age	Billable / specific
Z68.54	Body mass index [BMI] pediatric, 95th percentile for age to less than 120% of the 95th percentile for age	Billable / specific
Z68.56	Body mass index [BMI] pediatric, greater than or equal to 140% of the 95th percentile for age	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗