ICD-10 · PDGM grouping

Z68-Z68 — Body mass index [BMI]

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

32

No clinical group

32

A period cannot be grouped from these.

Barred as primary

32

CMS rejects these in the primary position.

Where these codes group

None of the 32 codes in Z68-Z68 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.

Every code in Z68-Z68

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
Z681Body mass index [BMI] 19.9 or less, adultNoneNot accepted
Z6820Body mass index [BMI] 20.0-20.9, adultNoneNot accepted
Z6821Body mass index [BMI] 21.0-21.9, adultNoneNot accepted
Z6822Body mass index [BMI] 22.0-22.9, adultNoneNot accepted
Z6823Body mass index [BMI] 23.0-23.9, adultNoneNot accepted
Z6824Body mass index [BMI] 24.0-24.9, adultNoneNot accepted
Z6825Body mass index [BMI] 25.0-25.9, adultNoneNot accepted
Z6826Body mass index [BMI] 26.0-26.9, adultNoneNot accepted
Z6827Body mass index [BMI] 27.0-27.9, adultNoneNot accepted
Z6828Body mass index [BMI] 28.0-28.9, adultNoneNot accepted
Z6829Body mass index [BMI] 29.0-29.9, adultNoneNot accepted
Z6830Body mass index [BMI] 30.0-30.9, adultNoneNot accepted
Z6831Body mass index [BMI] 31.0-31.9, adultNoneNot accepted
Z6832Body mass index [BMI] 32.0-32.9, adultNoneNot accepted
Z6833Body mass index [BMI] 33.0-33.9, adultNoneNot accepted
Z6834Body mass index [BMI] 34.0-34.9, adultNoneNot accepted
Z6835Body mass index [BMI] 35.0-35.9, adultNoneNot accepted
Z6836Body mass index [BMI] 36.0-36.9, adultNoneNot accepted
Z6837Body mass index [BMI] 37.0-37.9, adultNoneNot accepted
Z6838Body mass index [BMI] 38.0-38.9, adultNoneNot accepted
Z6839Body mass index [BMI] 39.0-39.9, adultNoneNot accepted
Z6841Body mass index [BMI] 40.0-44.9, adultNoneNot accepted
Z6842Body mass index [BMI] 45.0-49.9, adultNoneNot accepted
Z6843Body mass index [BMI] 50.0-59.9, adultNoneNot accepted
Z6844Body mass index [BMI] 60.0-69.9, adultNoneNot accepted
Z6845Body mass index [BMI] 70 or greater, adultNoneNot accepted
Z6851Body mass index pediatric, less than 5th percentile for ageNoneNot accepted
Z6852Body mass index pediatric, 5th percentile to < 85% for ageNoneNot accepted
Z6853Body mass index pediatric, 85% to less than 95% for ageNoneNot accepted
Z6854Body mass index ped, 95% for age to < 120% of 95% for ageNoneNot accepted
Z6855Body mass index ped, 120% 95% for age to < 140% 95% for ageNoneNot accepted
Z6856Body mass index ped, > or equal to 140% of the 95% for ageNoneNot accepted

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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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