Problems related to upbringing

Instructional notes

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.

• Use of Z Codes in Any Healthcare Setting (page 92)
• Z Codes Indicate a Reason for an Encounter or Provide Additional Information about a Patient Encounter (page 93)
• Categories of Z Codes (page 93)

Read Section I.C.21 (page 92)

All codes under Z62

Z62 can't be used on a claim. Pick a billable code below; grey headings group them.

• 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

Z62 MS-DRG

As the principal diagnosis, all 28 billable codes under Z62 group to MS-DRG 951 (v44.0).

• DRG 951 Other Factors Influencing Health Status

Other codes that refer to Z62

Notes on these codes point to Z62.

• Z59 Excludes2: problems related to upbringing (Z62.-)
• Z63 Excludes2: parent-child problems (Z62.-)
• Z63 Excludes2: problems related to negative life events in childhood (Z62.-)
• Z63 Excludes2: problems related to upbringing (Z62.-)

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.