Question Self reported height and weight and BMI/obesity code selection

lcourt6

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Hello! As we now live in the telehealth world, I have a question about self reported measures. Is it allowable to select a BMI code and an obesity code (following the guidelines) from a patient's self reported height and weight?

Is it permissible to code and bill?
 
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thomas7331

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An obesity code may only be assigned if the provider has made that diagnosis and documented it.

Regarding the BMI however, I have not seen any official guidance on this question. But since the ICD-10 guidelines state that the code for BMI must be assignment based on documentation by a physician or by 'other clinicians involved in the care of the patient', I would not assign a code just based on what the patient has reported without confirmation by the provider that it is accurate.
 
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