2020 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
  • Z63.8 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 Z63.8 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z63.8 - other international versions of ICD-10 Z63.8 may differ.
Applicable To
  • Family discord NOS
  • Family estrangement NOS
  • High expressed emotional level within family
  • Inadequate family support NOS
  • Inadequate or distorted communication within family
The following code(s) above Z63.8 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 Z63.8:
  • 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
  • Caregiver role strain
  • Caregiver stress
  • Family conflict
  • Family disruption
  • Family disruption issues in remission
  • Family maladjustment
  • Family stress
  • Family tension
  • Stress due to family tension
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.
  • Z63.8 is considered exempt from POA reporting.
ICD-10-CM Z63.8 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 951 Other factors influencing health status

Convert Z63.8 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

Diagnosis Index entries containing back-references to Z63.8:
  • Discord (with)
    • family Z63.8
  • Disruption (of)
  • Distortion(s) (congenital)
    • intrafamilial communications Z63.8
  • Family, familial - see also condition
    • disruption Z63.8
    • problem Z63.9
      ICD-10-CM Diagnosis Code Z63.9

      Problem related to primary support group, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Relationship disorder NOS
      • specified NEC Z63.8
  • High
    • expressed emotional level within family Z63.8
  • Inadequate, inadequacy
    • family support Z63.8
    • intrafamilial communication Z63.8
  • Problem (with) (related to)
    • conflict or discord (with)
      • family Z63.9
        ICD-10-CM Diagnosis Code Z63.9

        Problem related to primary support group, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Relationship disorder NOS
        • specified NEC Z63.8
    • family Z63.9-
      - see also Disruption, family
      ICD-10-CM Diagnosis Code Z63.9-

      Problem related to primary support group, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Relationship disorder NOS
      • specified NEC Z63.8
    • primary support group (family) Z63.9
      ICD-10-CM Diagnosis Code Z63.9

      Problem related to primary support group, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Applicable To
      • Relationship disorder NOS
      • specified NEC Z63.8
    • intrafamilial communication Z63.8

ICD-10-CM Codes Adjacent To Z63.8
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
Z64.4 Discord with counselors
Z65 Problems related to other psychosocial circumstances
Z65.0 Conviction in civil and criminal proceedings without imprisonment
Z65.1 Imprisonment and other incarceration
Z65.2 Problems related to release from prison
Z65.3 Problems related to other legal circumstances

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