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ICD-10-CM codes for Obesity

The ICD-10-CM Index to Diseases lists obesity under "Obesity". Without more detail in the record it is coded E66.9, obesity, unspecified, in tabular category E66 (Overweight and obesity). The tabular list also files Obesity NOS under E66.9. More specific documentation changes the code, for example with alveolar hypoventilation: E66.2; adrenal: E27.8; class, 1: E66.811.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: ICD-10-CM code descriptions: FY2027 (effective October 1, 2026). Next CMS release: FY2028 code files, effective October 1, 2027.

Default code: E66.9 Obesity, unspecified

Index to Diseases entry: Obesity

Each row is a subterm under the entry. Indented rows refine the row above; “see” sends you to another entry. Look the code up in the tabular list before reporting it: the tabular notes can require a more specific or an additional code.

ICD-10-CM index subterms under "Obesity"
DocumentationCodeCode description or cross-reference
with alveolar hypoventilationE66.2Morbid (severe) obesity with alveolar hypoventilation
adrenalE27.8Other specified disorders of adrenal gland
class—
1E66.811Obesity, class 1
2E66.812Obesity, class 2
3E66.813Obesity, class 3
complicating—
childbirthO99.214Obesity complicating childbirth
pregnancyO99.21-Obesity complicating pregnancy, childbirth, and the puerperium
puerperiumO99.215Obesity complicating the puerperium
constitutionalE66.89Other obesity not elsewhere classified
dietary counseling and surveillanceZ71.3Dietary counseling and surveillance
drug-inducedE66.1Drug-induced obesity
due to—
disruption of MC4R pathwayE88.82Obesity due to disruption of MC4R pathway
drugE66.1Drug-induced obesity
excess caloriesE66.09Other obesity due to excess calories
gene mutation—
endocrineE66.89Other obesity not elsewhere classified
endogenousE66.89Other obesity not elsewhere classified
exogenousE66.09Other obesity due to excess calories
familialE66.89Other obesity not elsewhere classified
glandularE66.89Other obesity not elsewhere classified
hypothyroid—see Hypothyroidism
hypoventilation syndrome(OHS)E66.2Morbid (severe) obesity with alveolar hypoventilation
morbidE66.01Morbid (severe) obesity due to excess calories
with—
due to excess caloriesE66.01Morbid (severe) obesity due to excess calories
nutritionalE66.09Other obesity due to excess calories
pituitaryE23.6Other disorders of pituitary gland
severeE66.01Morbid (severe) obesity due to excess calories
specified type NECE66.89Other obesity not elsewhere classified

Tabular list notes for E66.9

Inclusion terms
  • Obesity NOS

How to read an Index to Diseases entry

  • Words in parentheses after a term are nonessential modifiers: they may or may not appear in the record, and they do not change the code.
  • Indented subterms are essential modifiers. Each one describes a different site, type or cause, and when the record supports it, the subterm's code replaces the default code.
  • “With” and “in” link two conditions. The Official Guidelines presume a causal relationship between conditions linked by “with” in the index unless the provider documents that they are unrelated.
  • “See” sends you to another entry that holds the code; “see also” points to another entry that may be useful.
  • A code that ends in a dash, such as I50.-, is incomplete: the tabular list gives the characters it still needs.
  • Never report a code from the index alone. Find it in the tabular list and apply its includes, excludes, code first, use additional code and 7th-character instructions before you report it.

Once the code is settled, check what it does for payment: the HCC lookup for risk adjustment, the CC/MCC exclusion check for inpatient severity, and the LCD code lookup for local coverage of the service it supports. The guide to ICD-10 diagnosis codes explains the code structure.

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Frequently asked questions

What is the ICD-10 code for obesity?

E66.9 (Obesity, unspecified) is the code the index assigns to "Obesity" with no further detail. Confirm it in the tabular list before reporting it, because the tabular notes can require a different or additional code.

Which documentation changes the code for obesity?

The index lists 26 subterms with their own codes, including with alveolar hypoventilation (E66.2); adrenal (E27.8); class 1 (E66.811); class 2 (E66.812); class 3 (E66.813).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

The entry, subterms and codes are reproduced from the FY2027 ICD-10-CM index; code descriptions are from the FY2027 code files. Code from the medical record using both the index and the tabular list, under the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.