obesity complicating pregnancy, childbirth and the puerperium, if applicable (O99.21-)
Use additional code
code to identify body mass index (BMI), if known, for adults (Z68.1-Z68.45) or pediatrics (Z68.5-)
MS-DRG index
Defines the logic of DRG(s) 640-641 in MDC 10.
Approximate ICD-9-CM (GEMs)
278.00 Obesity, unspecified (approximate)
Medicare Code Edits (MCE v43.1 (April 2026))
Questionable admission: Some diagnoses are not usually sufficient justification for admission to an acute care hospital when reported as principal diagnosis.
Code annotations containing back-references to E66.9
Back-references to E66
Use Additional: E88.81 Metabolic syndrome and other insulin resistance ("obesity (E66.-)")
Use Additional: O99.21 Obesity complicating pregnancy, childbirth, and the puerperium ("code to identify the type of obesity (E66.-)")
Type 1 Excludes: R63.5 Abnormal weight gain ("obesity (E66.-)")
Code First: Z99.3 Dependence on wheelchair ("obesity (E66.-)")