MCMedicalCodingSoftware
Z68.56

Z68.56: Body mass index [BMI] pediatric, greater than or equal to 140% of the 95th percentile for age

Billable / specific codeICD-10-CMPOA exempt

Z68.56 is a billable, specific ICD-10-CM code for body mass index [bmi] pediatric, greater than or equal to 140% of the 95th percentile for age. It is valid for submission on a claim.

Check Z68.56 with the rest of the claim: free scrubber

Risk adjustment

Z68.56 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 48 Morbid Obesity0.186 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Alphabetic index entries that lead here

  • Body, bodies›mass index›pediatric›greater than or equal to 140% of the 95th percentile for age

Code history

  • addedFY2024-FY2027

    Body mass index [BMI] pediatric, greater than or equal to 140% of the 95th percentile for age

Other codes under Z68.5

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.