Z55-Z65Not billable, use a more specific code below
Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
chapter 21: Factors Influencing Health Status and Contact with Health Services
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Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers when and how to use Z codes (Z00-Z99) for encounters and supplementary information, including contact, status, history, screening, aftercare, exams, and social determinants of health.
All codes under Z55-Z65
Z55-Z65 can't be used on a claim. Pick a billable code below; grey headings group them.
- Z55Problems related to education and literacy
- Z55.0Illiteracy and low-level literacy
- Z55.1Schooling unavailable and unattainable
- Z55.2Failed school examinations
- Z55.3Underachievement in school
- Z55.4Educational maladjustment and discord with teachers and classmates
- Z55.5Less than a high school diploma
- Z55.6Problems related to health literacy
- Z55.8Other problems related to education and literacy
- Z55.9Problems related to education and literacy, unspecified
- Z56Problems related to employment and unemployment
- Z56.0Unemployment, unspecified
- Z56.1Change of job
- Z56.2Threat of job loss
- Z56.3Stressful work schedule
- Z56.4Discord with boss and workmates
- Z56.5Uncongenial work environment
- Z56.6Other physical and mental strain related to work
- Z56.8Other problems related to employment
- Z56.81Sexual harassment on the job
- Z56.82Military deployment status
- Z56.89Other problems related to employment
- Z56.9Unspecified problems related to employment
- Z57Occupational exposure to risk factors
- Z57.0Occupational exposure to noise
- Z57.1Occupational exposure to radiation
- Z57.2Occupational exposure to dust
- Z57.3Occupational exposure to other air contaminants
- Z57.31Occupational exposure to environmental tobacco smoke
- Z57.39Occupational exposure to other air contaminants
- Z57.4Occupational exposure to toxic agents in agriculture
- Z57.5Occupational exposure to toxic agents in other industries
- Z57.6Occupational exposure to extreme temperature
- Z57.7Occupational exposure to vibration
- Z57.8Occupational exposure to other risk factors
- Z57.9Occupational exposure to unspecified risk factor
- Z58Problems related to physical environment
- Z58.6Inadequate drinking-water supply
- Z58.8Other problems related to physical environment
- Z58.81Basic services unavailable in physical environment
- Z58.89Other problems related to physical environment
- Z59Problems related to housing and economic circumstances
- Z59.0Homelessness
- Z59.00Homelessness unspecified
- Z59.01Sheltered homelessness
- Z59.02Unsheltered homelessness
- Z59.1Inadequate housing
- Z59.10Inadequate housing, unspecified
- Z59.11Inadequate housing environmental temperature
- Z59.12Inadequate housing utilities
- Z59.19Other inadequate housing
- Z59.2Discord with neighbors, lodgers and landlord
- Z59.3Problems related to living in residential institution
- Z59.4Lack of adequate food
- Z59.41Food insecurity
- Z59.48Other specified lack of adequate food
- Z59.5Extreme poverty
- Z59.6Low income
- Z59.7Insufficient social insurance and welfare support
- Z59.71Insufficient health insurance coverage
- Z59.72Insufficient welfare support
- Z59.8Other problems related to housing and economic circumstances
- Z59.81Housing instability, housed
- Z59.811Housing instability, housed, with risk of homelessness
- Z59.812Housing instability, housed, homelessness in past 12 months
- Z59.819Housing instability, housed unspecified
- Z59.82Transportation insecurity
- Z59.86Financial insecurity
- Z59.861Financial insecurity, difficulty paying for utilities
- Z59.868Other specified financial insecurity
- Z59.869Financial insecurity, unspecified
- Z59.87Material hardship due to limited financial resources, not elsewhere classified
- Z59.89Other problems related to housing and economic circumstances
- Z59.9Problem related to housing and economic circumstances, unspecified
- Z60Problems related to social environment
- Z60.0Problems of adjustment to life-cycle transitions
- Z60.2Problems related to living alone
- Z60.3Acculturation difficulty
- Z60.4Social exclusion and rejection
- Z60.5Target of (perceived) adverse discrimination and persecution
- Z60.8Other problems related to social environment
- Z60.9Problem related to social environment, unspecified
- Z62Problems related to upbringing
- Z62.0Inadequate parental supervision and control
- Z62.1Parental overprotection
- Z62.2Upbringing away from parents
- Z62.21Child in welfare custody
- Z62.22Institutional upbringing
- Z62.23Child in custody of non-parental relative
- Z62.24Child in custody of non-relative guardian
- Z62.29Other upbringing away from parents
- Z62.3Hostility towards and scapegoating of child
- Z62.6Inappropriate (excessive) parental pressure
- Z62.8Other specified problems related to upbringing
- Z62.81Personal history of abuse in childhood
- Z62.810Personal history of physical and sexual abuse in childhood
- Z62.811Personal history of psychological abuse in childhood
- Z62.812Personal history of neglect in childhood
- Z62.813Personal history of forced labor or sexual exploitation in childhood
- Z62.814Personal history of child financial abuse
- Z62.815Personal history of intimate partner abuse in childhood
- Z62.819Personal history of unspecified abuse in childhood
- Z62.82Parent-child conflict
- Z62.820Parent-biological child conflict
- Z62.821Parent-adopted child conflict
- Z62.822Parent-foster child conflict
- Z62.823Parent-step child conflict
- Z62.83Non-parental relative or guardian-child conflict
- Z62.831Non-parental relative-child conflict
- Z62.832Non-relative guardian-child conflict
- Z62.833Group home staff-child conflict
- Z62.89Other specified problems related to upbringing
- Z62.890Parent-child estrangement NEC
- Z62.891Sibling rivalry
- Z62.892Runaway [from current living environment]
- Z62.898Other specified problems related to upbringing
- Z62.9Problem related to upbringing, unspecified
- Z63Other problems related to primary support group, including family circumstances
- Z63.0Problems in relationship with spouse or partner
- Z63.1Problems in relationship with in-laws
- Z63.3Absence of family member
- Z63.31Absence of family member due to military deployment
- Z63.32Other absence of family member
- Z63.4Disappearance and death of family member
- Z63.5Disruption of family by separation and divorce
- Z63.6Dependent relative needing care at home
- Z63.7Other stressful life events affecting family and household
- Z63.71Stress on family due to return of family member from military deployment
- Z63.72Alcoholism and drug addiction in family
- Z63.79Other stressful life events affecting family and household
- Z63.8Other specified problems related to primary support group
- Z63.9Problem related to primary support group, unspecified
- Z64Problems related to certain psychosocial circumstances
- Z64.0Problems related to unwanted pregnancy
- Z64.1Problems related to multiparity
- Z64.4Discord with counselors
- Z65Problems related to other psychosocial circumstances
- Z65.0Conviction in civil and criminal proceedings without imprisonment
- Z65.1Imprisonment and other incarceration
- Z65.2Problems related to release from prison
- Z65.3Problems related to other legal circumstances
- Z65.4Victim of crime and terrorism
- Z65.5Exposure to disaster, war and other hostilities
- Z65.8Other specified problems related to psychosocial circumstances
- Z65.9Problem related to unspecified psychosocial circumstances
Z55-Z65 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.