Overweight and obesity
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E66 is a billable code used to indicate a diagnosis of overweight and obesity.
Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health. The World Health Organization (WHO) classifies overweight as having a body mass index (BMI) of 25 or greater, while obesity is defined as a BMI of 30 or greater. The BMI is calculated by dividing a person's weight in kilograms by the square of their height in meters (kg/m²). Obesity is associated with numerous health complications, including type 2 diabetes, cardiovascular diseases, certain types of cancer, and musculoskeletal disorders. The condition can result from a combination of genetic, behavioral, and environmental factors, leading to an energy imbalance where caloric intake exceeds energy expenditure. Effective weight management strategies include lifestyle modifications such as dietary changes, increased physical activity, and behavioral therapy. In some cases, pharmacotherapy or surgical interventions may be necessary for severe obesity. Accurate coding for overweight and obesity is crucial for appropriate treatment planning and reimbursement.
Detailed patient history, BMI calculations, and comorbid conditions.
Management of obesity-related diabetes and metabolic syndrome.
Ensure documentation supports the medical necessity of interventions.
Dietary assessments, weight loss plans, and progress notes.
Nutritional counseling for weight management.
Document specific dietary recommendations and patient adherence.
Used for initial assessment of a patient with obesity.
Document patient's weight history, dietary habits, and goals.
Endocrinologists should ensure comprehensive metabolic evaluations are included.
Overweight is defined as having a BMI of 25-29.9, while obesity is defined as having a BMI of 30 or greater. Both conditions increase the risk of various health issues.
