Adult Body Mass Index Assessment (ABA)
One prevention and screening measure for the Centers for Medicare & Medicaid Services (CMS) Star
ratings system and the Healthcare Effectiveness Data and Information Set (HEDIS®) is Adult Body Mass
Index Assessment (ABA). This measure records the patient’s body mass index (BMI), a statistical
measure of a person’s weight scaled according to height.
The ICD-9-CM Diagnosis codes below are used to identify BMI. Please make sure when capturing height
and weight to also calculate and document BMI in the medical record. Also, please include the
appropriate diagnosis and Healthcare Common Procedure Coding System (HCPCS) codes when
submitting a claim.
Code
V85.0
V85.1
V85.2
V85.21
V85.22
V85.23
V85.24
V85.25
V85.3
V85.30
V85.31
V85.32
V85.33
V85.34
V85.35
V85.36
V85.37
V85.38
V85.39
V85.4
V85.41
V85.42
V85.43
V85.44
V85.45
Code Type
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Diagnosis
Definition
Body mass index less than 19, adult
Body mass index between 19-24, adult
Body mass index between 25-29, adult
Body mass index 25.0-25.9, adult
Body mass index 26.0-26.9, adult
Body mass index 27.0-27.9, adult
Body mass index 28.0-28.9, adult
Body mass index 29.0-29.9, adult
Body mass index between 30-39, adult
Body mass index 30.0-30.9, adult
Body mass index 31.0-31.9, adult
Body mass index 32.0-32.9, adult
Body mass index 33.0-33.9, adult
Body mass index 34.0-34.9, adult
Body mass index 35.0-35.9, adult
Body mass index 36.0-36.9, adult
Body mass index 37.0-37.9, adult
Body mass index 38.0-38.9, adult
Body mass index 39.0-39.9, adult
Body mass index 40 and over, adult
Body mass index 40.0-44.9, adult
Body mass index 45.0-49.9, adult
Body mass index 50.0-59.9, adult
Body mass index 60.0-69.9, adult
Body mass index 70 and over, adult
BlueCare Plus Tennessee, an Independent Licensee of the BlueCross BlueShield Association
BlueCare Plus Tennessee is an HMO SNP plan with a Medicare contract and a contract with the Tennessee Medicaid program.
Enrollment in BlueCare Plus Tennessee depends on contract renewal.
HEDIS® is a set of standardized performance measures designed to help purchasers and consumers compare the
performance of health plans on an “apples-to-apples” basis. HEDIS® is a registered trademark of the National
Committee for Quality Assurance (NCQA).
®
®
CPT® is a registered trademark of the American Medical Association. “BlueCross , BlueShield and the Cross, Shield
symbols and BlueCare Plus are Registered Marks of the BlueCross BlueShield Association, an Association of
Independent BlueCross BlueShield Plans”.