All codes
V851
V851 – V851
OHIP Other Code · Schedule of Benefits
When to Use
- Use V851 to report a Body Mass Index (BMI) between 30.0 and 34.9 when documenting obesity class I in a patient's chart.
- Apply this code as a secondary diagnosis to support the medical necessity of procedures or counseling related to weight management or metabolic health.
Common Pitfalls
- Billing V851 as a primary diagnosis code will lead to automatic rejection as it is a supplementary classification code intended for secondary use only.
- Confusing V851 with V852 or V853, which represent higher BMI ranges, will trigger audit flags if the documented weight and height do not mathematically align with the code selected.
Billing Tips
- Always pair V851 with a primary diagnosis code related to the encounter, such as E66.9 for obesity, to ensure the claim meets the requirements for a valid diagnostic link.
Provider Fee$0.00
Specialist Fee$0.00
Effective: April 1, 2025
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