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Pediatric Coding:

Differentiate Between Child and Adult BMI Calculations

Question: Can I use the equation for calculating adult body mass index (BMI) — (weight in pounds x 703 divided by height in inches) — to determine a child’s BMI?

Michigan Subscriber

Answer: Although adult BMIs are calculated with an equation, which uses either metric measurements — (weight in kilograms) divided by (height in meters, squared) — or standard measurements, as you described, pediatric BMIs are tied to percentiles of their respective age and sex.

For example, a “normal” BMI for a 4-year-old boy would be different than a 7-year-old girl, even if the BMI number itself is the same. If you don’t want to do the math for every patient, you can use the by the Centers for Disease Control and Prevention (CDC), which incorporates the relevant percentile information. Note that BMI values are not available for children 2 or younger via this calculator.

The current ICD-10-CM codes for pediatric BMI values are:

  • Z68.51 (Body mass index [BMI] pediatric, less than 5th percentile for age)
  • Z68.52 (… 5th percentile to less than 85th percentile for age)
  • Z68.53 (… 85th percentile to less than 95th percentile for age)
  • Z68.54 (…  95th percentile for age to less than 120% of the 95th percentile for age)
  • Z68.55 (… 120% of the 95th percentile for age to less than 140% of the 95th percentile for age)
  • Z68.56 (… greater than or equal to 140% of the 95th percentile for age)

Rachel Dorrell, MA, MS, CPC-A, CPPM, Development Editor, AAPC

 

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