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COVID-19

Body Mass Index Percentile

Answer the questions to confirm eligibility and compliance criteria, this is applicable to Medicaid and Commercial members only.

Is the member* 3-17 years of age by the end of the measurement year?

Does the member have an outpatient visit with a Primary Care Physician (PCP) OR Ob/Gyn during the measurement year?

Does the member have a height, weight and BMI percentile on the same date of service OR a BMI percentile plotted on a BMI age-specific growth chart in the medical record during the measurement year?

Member does not meet compliance for this measure

Billing Codes

  • ICD10CM LOINC
    Z68.51, Z68.52, Z68.53, Z68.54 59574-4, 59575-1, 59576-9
  • CPT® HCPCS ICD10CM SNOMED CT US Edition
    97802, 97803, 97804 G0270, G0271, G0447, S9449, S9452, S9470 Z71.3 11816003, 61310001, 183059007, 183060002, 183061003, 183062005, 183063000, 183065007, 183066008, 183067004, 183070000, 183071001, 226067002, 266724001, 275919002, 281085002, 284352003, 305849009, 305850009, 305851008, 306163007, 306164001, 306165000, 306626002, 306627006, 306628001, 313210009, 370847001, 386464006, 404923009, 408910007, 410171007, 410177006, 410200000, 429095004, 431482008, 443288003, 609104008, 698471002, 699827002, 699829004, 699830009, 699849008, 700154005, 700258004, 705060005, 710881000, 428461000124101, 428691000124107, 441041000124100, 441201000124108, 441231000124100, 441241000124105, 441251000124107, 441261000124109, 441271000124102, 441281000124104, 441291000124101, 441301000124100, 441311000124102, 441321000124105, 441331000124108, 441341000124103, 441351000124101, 445291000124103, 445301000124102, 445331000124105, 445641000124105
  • HCPCS ICD10CM SNOMED CT US Edition
    G0447, S9451 Z02.5, Z71.82 103736005, 183073003, 281090004, 304507003, 304549008, 304558001, 310882002, 386291006, 386292004, 386463000, 390864007, 390893007, 398636004, 398752005, 408289007, 410200000, 410289001, 410335001, 429778002, 435551000124105, 710849009

Member meets compliance for this measure.