2020 ICD-10-CM Diagnosis Code Z63.5

Disruption of family by separation and divorce

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Z63.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Z63.5 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z63.5 - other international versions of ICD-10 Z63.5 may differ.
Applicable To
  • Marital estrangement
The following code(s) above Z63.5 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 Z63.5:
  • Z00-Z99
    2020 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
  • Z63
    ICD-10-CM Diagnosis Code Z63

    Other problems related to primary support group, including family circumstances

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • maltreatment syndrome (T74.-, T76)
    • parent-child problems (Z62.-)
    • problems related to negative life events in childhood (Z62.-)
    • problems related to upbringing (Z62.-)
    Other problems related to primary support group, including family circumstances
Approximate Synonyms
  • Disruption of family by separation or divorce
  • Divorce
  • Family disruption due to divorce
  • Family disruption due to legal separation
  • Family disruption due to separation and divorce
  • Family disruption with separation
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z63.5 is considered exempt from POA reporting.
ICD-10-CM Z63.5 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 951 Other factors influencing health status

Convert Z63.5 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to Z63.5:
  • Type 1 Excludes: Z63.3
    ICD-10-CM Diagnosis Code Z63.3

    Absence of family member

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • absence of family member due to disappearance and death (Z63.4)
    • absence of family member due to separation and divorce (Z63.5)
  • Type 2 Excludes: Z62.21
    ICD-10-CM Diagnosis Code Z62.21

    Child in welfare custody

      2016 2017 2018 2019 2020 Billable/Specific Code Pediatric Dx (0-17 years)
    Applicable To
    • Child in care of non-parental family member
    • Child in foster care
    Type 2 Excludes
    • problem for parent due to child in welfare custody (Z63.5)

Diagnosis Index entries containing back-references to Z63.5:
  • Conflict (with) - see also Discord
    • marital Z63.0
      ICD-10-CM Diagnosis Code Z63.0

      Problems in relationship with spouse or partner

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Relationship distress with spouse or intimate partner
      Type 1 Excludes
      • counseling for spousal or partner abuse problems (Z69.1)
      • counseling related to sexual attitude, behavior, and orientation (Z70.-)
      • involving divorce or estrangement Z63.5
  • Conjugal maladjustment Z63.0
    ICD-10-CM Diagnosis Code Z63.0

    Problems in relationship with spouse or partner

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Relationship distress with spouse or intimate partner
    Type 1 Excludes
    • counseling for spousal or partner abuse problems (Z69.1)
    • counseling related to sexual attitude, behavior, and orientation (Z70.-)
    • involving divorce or estrangement Z63.5
  • Disruption (of)
    • family Z63.8
      ICD-10-CM Diagnosis Code Z63.8

      Other specified problems related to primary support group

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Family discord NOS
      • Family estrangement NOS
      • High expressed emotional level within family
      • Inadequate family support NOS
      • Inadequate or distorted communication within family
      • due to
        • divorce or separation Z63.5
  • Divorce, causing family disruption Z63.5
  • Estrangement (marital) Z63.5
  • Family, familial - see also condition
    • disruption Z63.8
      ICD-10-CM Diagnosis Code Z63.8

      Other specified problems related to primary support group

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Family discord NOS
      • Family estrangement NOS
      • High expressed emotional level within family
      • Inadequate family support NOS
      • Inadequate or distorted communication within family
      • involving divorce or separation Z63.5
  • Incompatibility
    • divorce or estrangement Z63.5
  • Maladjustment
    • conjugal Z63.0
      ICD-10-CM Diagnosis Code Z63.0

      Problems in relationship with spouse or partner

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Relationship distress with spouse or intimate partner
      Type 1 Excludes
      • counseling for spousal or partner abuse problems (Z69.1)
      • counseling related to sexual attitude, behavior, and orientation (Z70.-)
      • involving divorce or estrangement Z63.5
    • marital Z63.0
      ICD-10-CM Diagnosis Code Z63.0

      Problems in relationship with spouse or partner

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Relationship distress with spouse or intimate partner
      Type 1 Excludes
      • counseling for spousal or partner abuse problems (Z69.1)
      • counseling related to sexual attitude, behavior, and orientation (Z70.-)
      • involving divorce or estrangement Z63.5
  • Problem (with) (related to)
    • marital Z63.0
      ICD-10-CM Diagnosis Code Z63.0

      Problems in relationship with spouse or partner

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Relationship distress with spouse or intimate partner
      Type 1 Excludes
      • counseling for spousal or partner abuse problems (Z69.1)
      • counseling related to sexual attitude, behavior, and orientation (Z70.-)

ICD-10-CM Codes Adjacent To Z63.5
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
Z63.72 Alcoholism and drug addiction in family
Z63.79 Other stressful life events affecting family and household
Z63.8 Other specified problems related to primary support group
Z63.9 Problem related to primary support group, unspecified
Z64 Problems related to certain psychosocial circumstances
Z64.0 Problems related to unwanted pregnancy
Z64.1 Problems related to multiparity

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