AHA Coding Clinic® for ICD-9 - 2010 Issue 2; Clarifications

Body Mass Index (BMI) Reporting

There has been some confusion as to whether nursing staff documentation is acceptable for assigning the body mass index (BMI). Since hospitals are allowed to code the BMI based on the dietitian’s documentation, it would seem reasonable to assign the BMI based on the nurse’s documentation as well. Can coders use nursing documentation to assign the BMI? ...

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