Because many insurers may have clauses that specifically prohibit coverage for weight loss, we suggest using a patient’s weight-related comorbidity for the primary diagnosis. This may include, but is not limited to:
It is recommend to also include Obesity as a secondary diagnosis, as claims data may be used in research and to inform changes to government and policies.
If the patient has no weight-related comorbidities, would consider billing the visit as a preventive medicine visit.
If a discussion about weight management was not the patient’s primary reason for presentation and will result in a higher level of billing and perhaps a higher out-of-pocket cost to the patient, we suggest informing the patient ahead of time.
Several diagnostic codes have become stigmatized or place unnecessary blame on patients.
Suggest against using the following codes as they can be bothersome to patients: