Z68.5
Non-Billable

Body mass index [BMI] pediatric

Non-Billable / Non-Specific Code

What is Body mass index [BMI] pediatric?

ICD-10-CM Z68.5 is the diagnosis code for Body mass index [BMI] pediatric. This code falls under the section "Body mass index (BMI)" within Chapter 21 — Factors influencing health status and contact with health services (Z00-Z99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for Z68.5

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where Z68.5 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 6 entries
Z68.51Body mass index [BMI] pediatric, less than 5th percentile for ageBillableZ68.52Body mass index [BMI] pediatric, 5th percentile to less than 85th percentile for ageBillableZ68.53Body mass index [BMI] pediatric, 85th percentile to less than 95th percentile for ageBillableZ68.54Body mass index [BMI] pediatric, 95th percentile for age to less than 120% of the 95th percentile for ageBillableZ68.55Body mass index [BMI] pediatric, 120% of the 95th percentile for age to less than 140% of the 95th percentile for ageBillableZ68.56Body mass index [BMI] pediatric, greater than or equal to 140% of the 95th percentile for ageBillable
Related Codes

Frequently Asked Questions

Is Z68.5 a billable ICD-10-CM code?

No, Z68.5 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does Z68.5 mean?

Z68.5 is the ICD-10-CM diagnosis code for "Body mass index [BMI] pediatric". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of Z68.5?

The parent code of Z68.5 is Z68 ("Body mass index [BMI]"). Z68.5 provides a more specific classification within this category.

What section is Z68.5 in?

Z68.5 is located in Section Z68 — "Body mass index (BMI)" within Chapter 21 of the ICD-10-CM Tabular List.

What are the sub-codes of Z68.5?

Z68.5 has 6 sub-code(s) that provide more specific detail: Z68.51, Z68.52, Z68.53, Z68.54, Z68.55 and more.

When should I use Z68.5?

Use Z68.5 when the patients documented diagnosis matches "Body mass index [BMI] pediatric" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Body mass index [BMI] pediatric?

The ICD-10-CM code for Body mass index [BMI] pediatric is Z68.5.

Can Z68.5 be used for primary diagnosis?

No, Z68.5 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is Z68.5 in?

Z68.5 is in Chapter 21 of the ICD-10-CM Tabular List.

Is Z68.5 valid for 2026?

Yes, Z68.5 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousZ68.45Body mass index [BMI] 70 or greater, adultNext →Z68.51Body mass index [BMI] pediatric, less than 5th percentile for age
Code Details
Z68.5
Body mass index [BMI] pediatric
Non-Billable / Non-Specific Code
21 — Factors influencing health status and contact with health services (Z00-Z99)
Z68 — Body mass index (BMI)
2026 ICD-10-CM