October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

Z68 Body mass index [BMI]

All 33 codes in the Z68 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

33

Can lead a claim

0

Cannot lead a claim

33

What CMS assigns to Z68

None of the 33 codes is assigned a clinical group. None of the 33 is assigned a comorbidity subgroup. None can lead a claim.

Every code in Z68

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z68.1 Body mass index [BMI] 19.9 or less, adult
Z68.18Body mass index [BMI] 18.4 or less, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.19Body mass index [BMI] 18.5-19.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.2 Body mass index [BMI] 20-29, adult
Z68.20Body mass index [BMI] 20.0-20.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.21Body mass index [BMI] 21.0-21.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.22Body mass index [BMI] 22.0-22.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.23Body mass index [BMI] 23.0-23.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.24Body mass index [BMI] 24.0-24.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.25Body mass index [BMI] 25.0-25.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.26Body mass index [BMI] 26.0-26.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.27Body mass index [BMI] 27.0-27.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.28Body mass index [BMI] 28.0-28.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.29Body mass index [BMI] 29.0-29.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.3 Body mass index [BMI] 30-39, adult
Z68.30Body mass index [BMI] 30.0-30.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.31Body mass index [BMI] 31.0-31.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.32Body mass index [BMI] 32.0-32.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.33Body mass index [BMI] 33.0-33.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.34Body mass index [BMI] 34.0-34.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.35Body mass index [BMI] 35.0-35.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.36Body mass index [BMI] 36.0-36.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.37Body mass index [BMI] 37.0-37.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.38Body mass index [BMI] 38.0-38.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.39Body mass index [BMI] 39.0-39.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.4 Body mass index [BMI] 40 or greater, adult
Z68.41Body mass index [BMI] 40.0-44.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.42Body mass index [BMI] 45.0-49.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.43Body mass index [BMI] 50.0-59.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.44Body mass index [BMI] 60.0-69.9, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.45Body mass index [BMI] 70 or greater, adultCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.5 Body mass index [BMI] pediatric
Z68.51Body mass index [BMI] pediatric, less than 5th percentile for ageCMS: Body mass index pediatric, less than 5th percentile for ageCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.52Body mass index [BMI] pediatric, 5th percentile to less than 85th percentile for ageCMS: Body mass index pediatric, 5th percentile to < 85% for ageCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.53Body mass index [BMI] pediatric, 85th percentile to less than 95th percentile for ageCMS: Body mass index pediatric, 85% to less than 95% for ageCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.54Body mass index [BMI] pediatric, 95th percentile for age to less than 120% of the 95th percentile for ageCMS: Body mass index ped, 95% for age to < 120% of 95% for ageCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.55Body mass index [BMI] pediatric, 120% of the 95th percentile for age to less than 140% of the 95th percentile for ageCMS: Body mass index ped, 120% 95% for age to < 140% 95% for ageCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
Z68.56Body mass index [BMI] pediatric, greater than or equal to 140% of the 95th percentile for ageCMS: Body mass index ped, > or equal to 140% of the 95% for ageCannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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