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We discussed this at our coding update meeting last week. We all agreed that we are concerned with this being a "never code BMI in pregnancy" rule. This takes the ability to capture severity away when you have a patient who comes into pregnancy obese or when the provider feels that there pregnancy weight gain and obesity is an issue. We did always struggle some with BMI in pregnancy simply because the BMI being calculated from the weight, which is not all mom's actual body weight with placenta and baby added on during pregnancy; however, we all agreed (providers, CDI and coding) that obesity is a significant factor in risk and complication possibilities during pregnancy, delivery and PP. We are hoping there will additional guidance on this, but right now our HIM manager is unsure what to do except stop coding the BMI in our OB population. We do continue to code the obesity at this point. I will be really interested to see how this plays out. There definitely needs to be additional consideration put into this to ensure our providers are able to completely and adequately portray risk.