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 v07.2.26.
Codes in range
33
No clinical group
33
A period cannot be grouped from these.
Barred as primary
33
CMS rejects these in the primary position.
Where these codes group
None of the 33 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.
Code families in Z68-Z68
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in Z68-Z68
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| Z6818 | Body mass index [BMI] 18.4 or less, adult | None | Cannot lead a claim |
| Z6819 | Body mass index [BMI] 18.5-19.9, adult | None | Cannot lead a claim |
| Z6820 | Body mass index [BMI] 20.0-20.9, adult | None | Cannot lead a claim |
| Z6821 | Body mass index [BMI] 21.0-21.9, adult | None | Cannot lead a claim |
| Z6822 | Body mass index [BMI] 22.0-22.9, adult | None | Cannot lead a claim |
| Z6823 | Body mass index [BMI] 23.0-23.9, adult | None | Cannot lead a claim |
| Z6824 | Body mass index [BMI] 24.0-24.9, adult | None | Cannot lead a claim |
| Z6825 | Body mass index [BMI] 25.0-25.9, adult | None | Cannot lead a claim |
| Z6826 | Body mass index [BMI] 26.0-26.9, adult | None | Cannot lead a claim |
| Z6827 | Body mass index [BMI] 27.0-27.9, adult | None | Cannot lead a claim |
| Z6828 | Body mass index [BMI] 28.0-28.9, adult | None | Cannot lead a claim |
| Z6829 | Body mass index [BMI] 29.0-29.9, adult | None | Cannot lead a claim |
| Z6830 | Body mass index [BMI] 30.0-30.9, adult | None | Cannot lead a claim |
| Z6831 | Body mass index [BMI] 31.0-31.9, adult | None | Cannot lead a claim |
| Z6832 | Body mass index [BMI] 32.0-32.9, adult | None | Cannot lead a claim |
| Z6833 | Body mass index [BMI] 33.0-33.9, adult | None | Cannot lead a claim |
| Z6834 | Body mass index [BMI] 34.0-34.9, adult | None | Cannot lead a claim |
| Z6835 | Body mass index [BMI] 35.0-35.9, adult | None | Cannot lead a claim |
| Z6836 | Body mass index [BMI] 36.0-36.9, adult | None | Cannot lead a claim |
| Z6837 | Body mass index [BMI] 37.0-37.9, adult | None | Cannot lead a claim |
| Z6838 | Body mass index [BMI] 38.0-38.9, adult | None | Cannot lead a claim |
| Z6839 | Body mass index [BMI] 39.0-39.9, adult | None | Cannot lead a claim |
| Z6841 | Body mass index [BMI] 40.0-44.9, adult | None | Cannot lead a claim |
| Z6842 | Body mass index [BMI] 45.0-49.9, adult | None | Cannot lead a claim |
| Z6843 | Body mass index [BMI] 50.0-59.9, adult | None | Cannot lead a claim |
| Z6844 | Body mass index [BMI] 60.0-69.9, adult | None | Cannot lead a claim |
| Z6845 | Body mass index [BMI] 70 or greater, adult | None | Cannot lead a claim |
| Z6851 | Body mass index pediatric, less than 5th percentile for age | None | Cannot lead a claim |
| Z6852 | Body mass index pediatric, 5th percentile to < 85% for age | None | Cannot lead a claim |
| Z6853 | Body mass index pediatric, 85% to less than 95% for age | None | Cannot lead a claim |
| Z6854 | Body mass index ped, 95% for age to < 120% of 95% for age | None | Cannot lead a claim |
| Z6855 | Body mass index ped, 120% 95% for age to < 140% 95% for age | None | Cannot lead a claim |
| Z6856 | Body mass index ped, > or equal to 140% of the 95% for age | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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