2027 ICD-10-CM Diagnosis Code Z68.34Body mass index [BMI] 34.0-34.9, adult

ICD-10-CM Codes›Z00–Z99›BMI›Z68

ICD-10-CM Z68.34
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z68.34 is a billable ICD-10-CM diagnosis code for body mass index [BMI] 34.0-34.9, adult. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124), not accepted as a principal diagnosis, and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Obesity.

Code Identity

ICD-10-CM Code
Z68.34
Billable Status
Yes — Valid for Submission
Code Describes
Body mass index [BMI] 34.0-34.9, adult
Short Description
Body mass index [BMI] 34.0-34.9, adult
Same as the full description in the CMS dataset.
Parent Code
Body mass index [BMI] 30-39, adult

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionBMIBody mass index (Z68)
CategoryZ68Body mass index [BMI]
This CodeZ68.34Body mass index [BMI] 34.0-34.9, adult

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z68.34.

The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z68.34 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Body mass index (BMI) (Z68).

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z68.34: its own notes plus those printed at Z68 and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Notes

General instructions on how these codes are used.

From Z68 Body mass index [BMI] applies to 33 codes
  • BMI adult codes are for use for persons 20 years of age or older
  • BMI pediatric codes are for use for persons 2-19 years of age.
  • These percentiles are based on the growth charts published by the Centers for Disease Control and Prevention (CDC)
From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Z68.34, its category, or a range that includes it.

Use Additional Code 5

These codes say to use an additional code from the note, and Z68.34 is one of the codes named.

  • E88.82 Obesity due to disruption of MC4R pathway
    code to identify body mass index (BMI), if known (Z68.-) names Z68.-, which includes this code
  • R63.6 Underweight
    code to identify body mass index (BMI), if known (Z68.-) names Z68.-, which includes this code
  • Z15.2 Genetic susceptibility to obesity
    code to identify body mass index (BMI), if known (Z68.-) names Z68.-, which includes this code
  • Z71.3 Dietary counseling and surveillance
    code to identify body mass index (BMI), if known (Z68.-) names Z68.-, which includes this code
  • E66 Overweight and obesity
    code to identify body mass index (BMI), if known, for adults (Z68.1-Z68.45) or pediatrics (Z68.5-) names Z68.1-Z68.45, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR END009
Obesity
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Body Weight

Body weight is the total mass of your body. Keeping track of your weight is one way to check for changes in your health, but it can't tell you the whole story. That's because your weight includes muscle, bone, fat, and water. Also, everyday factors can play a role in your weight, such as your:

The full article covers:

  • What is body weight?
  • What factors help determine a healthy body weight?
  • What are body weight ranges?
  • What if I have a sudden gain or loss of weight?
  • How can I maintain a healthy body weight?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z68.34 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V85.34 BMI 34.0-34.9,adult
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2020No changes
FY 2021RevisedCode revised
FY 2022–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z68.34Overview

What is the ICD-10 code for body mass index [BMI] 34.0-34.9, adult?

The ICD-10-CM code for body mass index [BMI] 34.0-34.9, adult is Z68.34 (sometimes written as Z6834). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Z68.34 (Body mass index [BMI] 30-39, adult) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report body mass index [BMI] 34.0-34.9, adult on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z68.34 group to?

On inpatient claims, body mass index [BMI] 34.0-34.9, adult maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.

Can Z68.34 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because body mass index [BMI] 34.0-34.9, adult describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Who can Z68.34 be reported for?

The Medicare Code Editor checks body mass index [BMI] 34.0-34.9, adult against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.