2018/2019 ICD-10-CM Diagnosis Code Z63

Other problems related to primary support group, including family circumstances

Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (Z63) and the excluded code together.
  • maltreatment syndrome (
    ICD-10-CM Diagnosis Code T74
    • T74 Adult and child abuse, neglect and other malt...
      • T74.0 Neglect or abandonment, confirmed
        • T74.01 Adult neglect or abandonment, confirmed
          • T74.01XA Adult neglect or abandonment, confirmed, init...
          • T74.01XD Adult neglect or abandonment, confirmed, subs...
          • T74.01XS Adult neglect or abandonment, confirmed, sequ...
        • T74.02 Child neglect or abandonment, confirmed
          • T74.02XA Child neglect or abandonment, confirmed, init...
          • T74.02XD Child neglect or abandonment, confirmed, subs...
          • T74.02XS Child neglect or abandonment, confirmed, sequ...
      • T74.1 Physical abuse, confirmed
        • T74.11 Adult physical abuse, confirmed
          • T74.11XA Adult physical abuse, confirmed, initial enco...
          • T74.11XD Adult physical abuse, confirmed, subsequent e...
          • T74.11XS …… sequela
        • T74.12 Child physical abuse, confirmed
          • T74.12XA Child physical abuse, confirmed, initial enco...
          • T74.12XD Child physical abuse, confirmed, subsequent e...
          • T74.12XS …… sequela
      • T74.2 Sexual abuse, confirmed
        • T74.21 Adult sexual abuse, confirmed
          • T74.21XA Adult sexual abuse, confirmed, initial encoun...
          • T74.21XD Adult sexual abuse, confirmed, subsequent enc...
          • T74.21XS …… sequela
        • T74.22 Child sexual abuse, confirmed
          • T74.22XA Child sexual abuse, confirmed, initial encoun...
          • T74.22XD Child sexual abuse, confirmed, subsequent enc...
          • T74.22XS …… sequela
      • T74.3 Psychological abuse, confirmed
        • T74.31 Adult psychological abuse, confirmed
          • T74.31XA Adult psychological abuse, confirmed, initial...
          • T74.31XD Adult psychological abuse, confirmed, subsequ...
          • T74.31XS Adult psychological abuse, confirmed, sequela...
        • T74.32 Child psychological abuse, confirmed
          • T74.32XA Child psychological abuse, confirmed, initial...
          • T74.32XD Child psychological abuse, confirmed, subsequ...
          • T74.32XS Child psychological abuse, confirmed, sequela...
      • T74.4 Shaken infant syndrome
      • T74.5 Forced sexual exploitation, confirmed
        • T74.51 Adult forced sexual exploitation, confirmed
          • T74.51XA Adult forced sexual exploitation, confirmed, ...
          • T74.51XD Adult forced sexual exploitation, confirmed, ...
          • T74.51XS Adult forced sexual exploitation, confirmed, ...
        • T74.52 Child sexual exploitation, confirmed
          • T74.52XA Child sexual exploitation, confirmed, initial...
          • T74.52XD Child sexual exploitation, confirmed, subsequ...
          • T74.52XS Child sexual exploitation, confirmed, sequela...
      • T74.6 Forced labor exploitation, confirmed
        • T74.61 Adult forced labor exploitation, confirmed
          • T74.61XA Adult forced labor exploitation, confirmed, i...
          • T74.61XD Adult forced labor exploitation, confirmed, s...
          • T74.61XS Adult forced labor exploitation, confirmed, s...
        • T74.62 Child forced labor exploitation, confirmed
          • T74.62XA Child forced labor exploitation, confirmed, i...
          • T74.62XD Child forced labor exploitation, confirmed, s...
          • T74.62XS Child forced labor exploitation, confirmed, s...
      • T74.9 Unspecified maltreatment, confirmed
        • T74.91 Unspecified adult maltreatment, confirmed
          • T74.91XA Unspecified adult maltreatment, confirmed, in...
          • T74.91XD Unspecified adult maltreatment, confirmed, su...
          • T74.91XS Unspecified adult maltreatment, confirmed, se...
        • T74.92 Unspecified child maltreatment, confirmed
          • T74.92XA Unspecified child maltreatment, confirmed, in...
          • T74.92XD Unspecified child maltreatment, confirmed, su...
          • T74.92XS Unspecified child maltreatment, confirmed, se...
    T74.-
    ,
    ICD-10-CM Diagnosis Code T76

    Adult and child abuse, neglect and other maltreatment, suspected

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • adult and child maltreatment, confirmed (T74.-)
    • suspected abuse and maltreatment in pregnancy (O9A.3-, O9A.4-, O9A.5-)
    • suspected adult physical abuse, ruled out (Z04.71)
    • suspected adult sexual abuse, ruled out (Z04.41)
    • suspected child physical abuse, ruled out (Z04.72)
    • suspected child sexual abuse, ruled out (Z04.42)
    Use Additional
    • code, if applicable, to identify any associated current injury
    T76
    )
  • parent-child problems (
    ICD-10-CM Diagnosis Code Z62
    • Z62 Problems related to upbringing
      • Z62.0 Inadequate parental supervision and control
      • Z62.1 Parental overprotection
      • Z62.2 Upbringing away from parents
        • Z62.21 Child in welfare custody
        • Z62.22 Institutional upbringing
        • Z62.29 Other upbringing away from parents
      • Z62.3 Hostility towards and scapegoating of child
      • Z62.6 Inappropriate (excessive) parental pressure
      • Z62.8 Other specified problems related to upbringin...
        • Z62.81 Personal history of abuse in childhood
          • Z62.810 Personal history of physical and sexual abuse...
          • Z62.811 Personal history of psychological abuse in ch...
          • Z62.812 Personal history of neglect in childhood
          • Z62.813 Personal history of forced labor or sexual ex...
          • Z62.819 Personal history of unspecified abuse in chil...
        • Z62.82 Parent-child conflict
          • Z62.820 Parent-biological child conflict
          • Z62.821 Parent-adopted child conflict
          • Z62.822 Parent-foster child conflict
        • Z62.89 Other specified problems related to upbringin...
          • Z62.890 Parent-child estrangement NEC
          • Z62.891 Sibling rivalry
          • Z62.898 Other specified problems related to upbringin...
      • Z62.9 Problem related to upbringing, unspecified
    Z62.-
    )
  • problems related to negative life events in childhood (
    ICD-10-CM Diagnosis Code Z62
    • Z62 Problems related to upbringing
      • Z62.0 Inadequate parental supervision and control
      • Z62.1 Parental overprotection
      • Z62.2 Upbringing away from parents
        • Z62.21 Child in welfare custody
        • Z62.22 Institutional upbringing
        • Z62.29 Other upbringing away from parents
      • Z62.3 Hostility towards and scapegoating of child
      • Z62.6 Inappropriate (excessive) parental pressure
      • Z62.8 Other specified problems related to upbringin...
        • Z62.81 Personal history of abuse in childhood
          • Z62.810 Personal history of physical and sexual abuse...
          • Z62.811 Personal history of psychological abuse in ch...
          • Z62.812 Personal history of neglect in childhood
          • Z62.813 Personal history of forced labor or sexual ex...
          • Z62.819 Personal history of unspecified abuse in chil...
        • Z62.82 Parent-child conflict
          • Z62.820 Parent-biological child conflict
          • Z62.821 Parent-adopted child conflict
          • Z62.822 Parent-foster child conflict
        • Z62.89 Other specified problems related to upbringin...
          • Z62.890 Parent-child estrangement NEC
          • Z62.891 Sibling rivalry
          • Z62.898 Other specified problems related to upbringin...
      • Z62.9 Problem related to upbringing, unspecified
    Z62.-
    )
  • problems related to upbringing (
    ICD-10-CM Diagnosis Code Z62
    • Z62 Problems related to upbringing
      • Z62.0 Inadequate parental supervision and control
      • Z62.1 Parental overprotection
      • Z62.2 Upbringing away from parents
        • Z62.21 Child in welfare custody
        • Z62.22 Institutional upbringing
        • Z62.29 Other upbringing away from parents
      • Z62.3 Hostility towards and scapegoating of child
      • Z62.6 Inappropriate (excessive) parental pressure
      • Z62.8 Other specified problems related to upbringin...
        • Z62.81 Personal history of abuse in childhood
          • Z62.810 Personal history of physical and sexual abuse...
          • Z62.811 Personal history of psychological abuse in ch...
          • Z62.812 Personal history of neglect in childhood
          • Z62.813 Personal history of forced labor or sexual ex...
          • Z62.819 Personal history of unspecified abuse in chil...
        • Z62.82 Parent-child conflict
          • Z62.820 Parent-biological child conflict
          • Z62.821 Parent-adopted child conflict
          • Z62.822 Parent-foster child conflict
        • Z62.89 Other specified problems related to upbringin...
          • Z62.890 Parent-child estrangement NEC
          • Z62.891 Sibling rivalry
          • Z62.898 Other specified problems related to upbringin...
      • Z62.9 Problem related to upbringing, unspecified
    Z62.-
    )
The following code(s) above Z63 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z63:
  • Z00-Z99
    2019 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
Code History
ICD-10-CM Codes Adjacent To Z63
Z62.819 Personal history of unspecified abuse in childhood
Z62.82 Parent-child conflict
Z62.820 Parent-biological child conflict
Z62.821 Parent-adopted child conflict
Z62.822 Parent-foster child conflict
Z62.89 Other specified problems related to upbringing
Z62.890 Parent-child estrangement NEC
Z62.891 Sibling rivalry
Z62.898 Other specified problems related to upbringing
Z62.9 Problem related to upbringing, unspecified
Z63 Other problems related to primary support group, including family circumstances
Z63.0 Problems in relationship with spouse or partner
Z63.1 Problems in relationship with in-laws
Z63.3 Absence of family member
Z63.31 …… due to military deployment
Z63.32 Other absence of family member
Z63.4 Disappearance and death of family member
Z63.5 Disruption of family by separation and divorce
Z63.6 Dependent relative needing care at home
Z63.7 Other stressful life events affecting family and household
Z63.71 Stress on family due to return of family member from military deployment

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.