All codes
V859
V859 – V859
OHIP Other Code · Schedule of Benefits
When to Use
- Use V859 as an administrative diagnostic code when billing for a visit where the primary purpose is the assessment of a patient's body mass index (BMI) for obesity management.
- Apply this code when documenting the clinical status of a patient with a BMI of 30 or greater in the absence of a more specific obesity-related complication code.
Common Pitfalls
- Do not use V859 as the primary diagnosis code for a visit if a more specific chronic condition or acute illness is the reason for the encounter.
- Avoid using V859 in isolation for routine physicals; it must be supported by clinical documentation of the BMI calculation and the resulting management plan.
Billing Tips
- Pair V859 with appropriate counseling or management codes to justify the time spent on obesity intervention, as V859 itself carries no fee.
Provider Fee$0.00
Specialist Fee$0.00
Effective: April 1, 2025
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