Body mass index [BMI] 19.9 or less, adult
ICD-10 Z68.1 is a billable code used to indicate a diagnosis of body mass index [bmi] 19.9 or less, adult.
Z68.1 is used to indicate an adult with a body mass index (BMI) of 19.9 or less, which is classified as underweight. This condition can have significant implications for health status, as individuals with a low BMI may be at risk for nutritional deficiencies, osteoporosis, and other health complications. Social determinants of health, such as socioeconomic status, access to nutritious food, and mental health factors, can influence an individual's BMI. Preventive care for these patients may include nutritional counseling, screening for eating disorders, and regular monitoring of weight and overall health. Screening for underlying conditions that may contribute to low BMI, such as hyperthyroidism or malabsorption syndromes, is also essential. Aftercare may involve ongoing support and education to promote healthy weight gain and address any psychosocial issues affecting the patient's health.
Document BMI calculation, nutritional assessments, and any referrals for counseling or further evaluation.
Routine checkups where BMI is assessed, screenings for nutritional deficiencies, and aftercare for patients with low BMI.
Consider social determinants such as food insecurity, mental health issues, and lifestyle factors that may contribute to low BMI.
Population-level data collection, surveillance of BMI trends, and documentation of interventions aimed at improving nutritional health.
Community health assessments, epidemiological studies, and preventive health initiatives targeting underweight populations.
Focus on health equity and access to resources that support healthy weight management.
Used during a visit where BMI is assessed and counseling is provided.
Document the counseling provided and the patient's BMI.
Primary care providers should ensure comprehensive documentation of preventive services.
Documentation must include the patient's BMI calculation, any relevant clinical assessments, and notes on preventive care or referrals made during the visit.
