Chapter 21

Z00–Z99: Factors Influencing Health Status and Contact with Health Services

Factors Influencing Health Status and Contact with Health Services diagnostic classification updated for 2026.

Internal Codes
  • Z59.3

    Problems related to living in residential institution

  • Z59.41

    Food insecurity

  • Z59.48

    Other specified lack of adequate food

  • Z59.5

    Extreme poverty

  • Z59.6

    Low income

  • Z59.71

    Insufficient health insurance coverage

  • Z59.72

    Insufficient welfare support

  • Z59.811

    Housing instability, housed, with risk of homelessness

  • Z59.812

    Housing instability, housed, homelessness in past 12 months

  • Z59.819

    Housing instability, housed unspecified

  • Z59.82

    Transportation insecurity

  • Z59.861

    Financial insecurity, difficulty paying for utilities

  • Z59.868

    Other specified financial insecurity

  • Z59.869

    Financial insecurity, unspecified

  • Z59.87

    Material hardship due to limited financial resources, not elsewhere classified

  • Z59.89

    Other problems related to housing and economic circumstances

  • Z59.9

    Problem related to housing and economic circumstances, unspecified

  • Z60.0

    Problems of adjustment to life-cycle transitions

  • Z60.2

    Problems related to living alone

  • Z60.3

    Acculturation difficulty

  • Z60.4

    Social exclusion and rejection

  • Z60.5

    Target of (perceived) adverse discrimination and persecution

  • Z60.8

    Other problems related to social environment

  • Z60.9

    Problem related to social environment, unspecified

  • Z62.0

    Inadequate parental supervision and control

  • Z62.1

    Parental overprotection

  • Z62.21

    Child in welfare custody

  • Z62.22

    Institutional upbringing

  • Z62.23

    Child in custody of non-parental relative

  • Z62.24

    Child in custody of non-relative guardian

  • Z62.29

    Other upbringing away from parents

  • Z62.3

    Hostility towards and scapegoating of child

  • Z62.6

    Inappropriate (excessive) parental pressure

  • Z62.810

    Personal history of physical and sexual abuse in childhood

  • Z62.811

    Personal history of psychological abuse in childhood

  • Z62.812

    Personal history of neglect in childhood

  • Z62.813

    Personal history of forced labor or sexual exploitation in childhood

  • Z62.814

    Personal history of child financial abuse

  • Z62.815

    Personal history of intimate partner abuse in childhood

  • Z62.819

    Personal history of unspecified abuse in childhood

  • Z62.820

    Parent-biological child conflict

  • Z62.821

    Parent-adopted child conflict

  • Z62.822

    Parent-foster child conflict

  • Z62.823

    Parent-step child conflict

  • Z62.831

    Non-parental relative-child conflict

  • Z62.832

    Non-relative guardian-child conflict

  • Z62.833

    Group home staff-child conflict

  • Z62.890

    Parent-child estrangement NEC

  • Z62.891

    Sibling rivalry

  • Z62.892

    Runaway [from current living environment]

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