Obesity Coding
The following information is taken from the Obesity Coding Fact Sheet by the Texas Pediatric Society. Before obesity and/or its complications are diagnosed, do not use rule out obesity as the diagnosis. Instead, use as many diagnosis codes as apply to report the patients signs and symptoms and/or adverse environmental circumstances and to document the patients complexity. Once obesity and/or its complications are diagnosed, report the appropriate definitive diagnosis code(s) as the primary code, plus as many other symptoms/complications that the patient is exhibiting as secondary diagnoses codes. Counseling diagnosis codes can be used when the patient is present or when counseling the parent/guardian(s) and the patient is not physically present. V-codes are used for occasions when circumstances other than a disease or injury are recorded as diagnoses or problems. Some carriers may request supporting documentation for the reporting of V-codes. ICD-9 CODE SIGNS AND SYMPTOMS 783.1 Weight gain (abnormal, excessive) 783.6 Excessive appetite, overeating of unspecified cause 300.11 Excessive appetite, hysterical 308.3 Overeating, as acute reaction to stress 307.51 Overeating of non-organic origin, bulimia, binge eating 307.52 Perverted appetite of non-organic origin, pica 307.59 Overeating, feeding disturbances of infancy 780.79 Fatigue/lethargy
701.2 Acanthosis nigricans, acquired 784.0 Headache, unspecified or vascular 307.81 Headache, emotional (non-organic origin), tension 346.90 Headache, migraine (unspecified), without mention of
intractable 346.91 Headache, migraine (unspecified) with intractable migraine 704.1 Hirsutism
788.43 Nocturia
783.5 Polydipsia
783.6 Polyphagia
788.42 Polyuria
V11.9 Unspecified mental disorder V21.0 Period of rapid growth in childhood ICD-9 CODE PRIMARY DIAGNOSES (related to obesity)
278.00 Overweight/obesity (unspecified) 278.01 Morbid obesity 307.50 Eating disorders, unspecified 259.9 Obesity of endocrine origin V77.8 Special screening for obesity 277.7 Dysmetabolic syndrome X 571.8 Nonalcoholic steatohepatitis 780.79 Fatigue, general 244.9 Hypothyroidism, primary or NOS V77.0 Screening for thyroid disease 278.8 Pickwickian syndrome (cardiopulmonary obesity) 780.57 Sleep apnea, obstructive 401.9 Hypertension, essential (unspecified) 405.19 Hypertension, essential (benign) 405.91 Hypertension, renovascular (unspecified) V81.1 Screening for hypertension 272.4 Hyperlipidemia, unspecified 272.0 Hypercholesteremia, pure 272.1 Hypertrycliceridemia, pure 272.2 Mixed Hyperlipidemia V18.1 Family history of hyperlipidemia V77.91 Screening for lipid disorders (cholesterol/HDL/other) 759.81 Prader-Willi syndrome 758.0 Down syndrome 256.4 Polycystic ovary syndrome ICD-9 CODE SECONDARY DIAGNOSES/COMPLICATIONS 259.1 Precocious puberty 626.0 Amenorrhea (primary or secondary) 790.6 Hyperglycemia, NOS V77.1 Diabetes, screening 250.0 Type 2 diabetes mellitus, controlled, no complications 250.02 Type 2 DM, uncontrolled, no complications 250.12 Type 2 DM, with ketoacidosis 250.90 Type 2 DM, with unspecified complications 251.1 Hyperinsulinemia
311 Depression, NOS 313.1 Disturbance of emotions specific to childhood/adolescence,
with misery and unhappiness 732.4 Blounts disease (tibia vara) 732.4 Slipped capital femoral epiphysis 732.1 Legg-Calv