ICD-10-CM Book 2024 Edition

Chapters  /  Chapter 21  /  Z55-Z65

Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)

Z55 Problems related to education and literacy
Excludes1 disorders of psychological development (F80-F89)
Z55.0 Illiteracy and low-level literacy
nonPrimary Yes
Z55.1 Schooling unavailable and unattainable
nonPrimary Yes
Z55.2 Failed school examinations
nonPrimary Yes
Z55.3 Underachievement in school
nonPrimary Yes
Z55.4 Educational maladjustment and discord with teachers and classmates
nonPrimary Yes
Z55.5 Less than a high school diploma
No general equivalence degree (GED)
Z55.6 Problems related to health literacy
Difficulty understanding health related information
Difficulty understanding medication instructions
Problem completing medical forms
Z55.8 Other problems related to education and literacy
Problems related to inadequate teaching
nonPrimary Yes
Z55.9 Problems related to education and literacy, unspecified
Academic problems NOS
nonPrimary Yes
Z56 Problems related to employment and unemployment
Excludes2 occupational exposure to risk factors (Z57.-)
problems related to housing and economic circumstances (Z59.-)
Z56.0 Unemployment, unspecified
nonPrimary Yes
Z56.1 Change of job
age Adult: [15-124]
nonPrimary Yes
Z56.2 Threat of job loss
nonPrimary Yes
Z56.3 Stressful work schedule
nonPrimary Yes
Z56.4 Discord with boss and workmates
nonPrimary Yes
Z56.5 Uncongenial work environment
Difficult conditions at work
nonPrimary Yes
Z56.6 Other physical and mental strain related to work
nonPrimary Yes
Z56.8 Other problems related to employment
Z56.81 Sexual harassment on the job
nonPrimary Yes
Z56.82 Military deployment status
Individual (civilian or military) currently deployed in theater or in support of military war, peacekeeping and humanitarian operations
nonPrimary Yes
Z56.89 Other problems related to employment
nonPrimary Yes
Z56.9 Unspecified problems related to employment
Occupational problems NOS
nonPrimary Yes
Z57 Occupational exposure to risk factors
Z57.0 Occupational exposure to noise
nonPrimary Yes
Z57.1 Occupational exposure to radiation
nonPrimary Yes
Z57.2 Occupational exposure to dust
nonPrimary Yes
Z57.3 Occupational exposure to other air contaminants
Z57.31 Occupational exposure to environmental tobacco smoke
Excludes2 exposure to environmental tobacco smoke (Z77.22)
nonPrimary Yes
Z57.39 Occupational exposure to other air contaminants
nonPrimary Yes
Z57.4 Occupational exposure to toxic agents in agriculture
Occupational exposure to solids, liquids, gases or vapors in agriculture
nonPrimary Yes
Z57.5 Occupational exposure to toxic agents in other industries
Occupational exposure to solids, liquids, gases or vapors in other industries
nonPrimary Yes
Z57.6 Occupational exposure to extreme temperature
nonPrimary Yes
Z57.7 Occupational exposure to vibration
nonPrimary Yes
Z57.8 Occupational exposure to other risk factors
nonPrimary Yes
Z57.9 Occupational exposure to unspecified risk factor
nonPrimary Yes
Z58 Problems related to physical environment
Excludes2 occupational exposure (Z57.-)
Z58.6 Inadequate drinking-water supply
Lack of safe drinking water
Excludes2 deprivation of water (T73.1)
Z58.8 Other problems related to physical environment
Z58.81 Basic services unavailable in physical environment
Unable to obtain internet service, due to unavailability in geographic area
Unable to obtain telephone service, due to unavailability in geographic area
Unable to obtain utilities, due to inadequate physical environment
Z58.89 Other problems related to physical environment
Z59 Problems related to housing and economic circumstances
Excludes2 problems related to upbringing (Z62.-)
Z59.0 Homelessness
nonPrimary Yes
Z59.00 Homelessness unspecified
Z59.01 Sheltered homelessness
Doubled up
Living in a shelter such as: motel, scattered site housing, temporary or transitional living situation
Z59.02 Unsheltered homelessness
Residing in place not meant for human habitation such as: abandoned buildings, cars, parks, sidewalk
Residing on the street
Z59.1 Inadequate housing
Excludes1 problems related to the natural and physical environment (Z77.1-)
nonPrimary Yes
Z59.10 Inadequate housing, unspecified
Inadequate housing NOS
Z59.11 Inadequate housing environmental temperature
Lack of air conditioning
Lack of heating
Z59.12 Inadequate housing utilities
Lack of electricity services
Lack of gas services
Lack of oil services
Lack of water services
Excludes2 basic services unavailable in physical environment (Z58.81)
lack of adequate food (Z59.4-)
other problems related to housing and economic circumstances (Z59.8-)
Z59.19 Other inadequate housing
Pest infestation
Restriction of space
Technical defects in home preventing adequate care
Unsatisfactory surroundings
Z59.2 Discord with neighbors, lodgers and landlord
nonPrimary Yes
Z59.3 Problems related to living in residential institution
Boarding-school resident
Excludes1 institutional upbringing (Z62.22)
nonPrimary Yes
Z59.4 Lack of adequate food
Excludes2 deprivation of food (T73.0)
effects of hunger (T73.0)
inappropriate diet or eating habits (Z72.4)
malnutrition (E40-E46)
nonPrimary Yes
Z59.41 Food insecurity
Z59.48 Other specified lack of adequate food
Inadequate food
Lack of food
Z59.5 Extreme poverty
nonPrimary Yes
Z59.6 Low income
nonPrimary Yes
Z59.7 Insufficient social insurance and welfare support
nonPrimary Yes
Z59.8 Other problems related to housing and economic circumstances
nonPrimary Yes
Z59.81 Housing instability, housed
Foreclosure on home loan
Past due on rent or mortgage
Unwanted multiple moves in the last 12 months
Z59.811 Housing instability, housed, with risk of homelessness
Imminent risk of homelessness
Z59.812 Housing instability, housed, homelessness in past 12 months
Z59.819 Housing instability, housed unspecified
Excludes2 extreme poverty (Z59.5)
financial insecurity (Z59.86)
low income (Z59.6)
material hardship due to limited financial resources, not elsewhere classified (Z59.87)
Z59.82 Transportation insecurity
Excessive transportation time
Inaccessible transportation
Inadequate transportation
Lack of transportation
Unaffordable transportation
Unreliable transportation
Unsafe transportation
Excludes2 unavailability and inaccessibility of healthcare facilities (Z75.3)
Z59.86 Financial insecurity
Bankruptcy
Burdensome debt
Economic strain
Financial strain
Money problems
Running out of money
Unable to make ends meet
Excludes2 extreme poverty (Z59.5)
low income (Z59.6)
material hardship, not elsewhere classified (Z59.87)
Z59.87 Material hardship due to limited financial resources, not elsewhere classified
Material deprivation due to limited financial resources
Unable to obtain adequate childcare due to limited financial resources
Unable to obtain adequate clothing due to limited financial resources
Unable to obtain adequate utilities due to limited financial resources
Unable to obtain basic needs due to limited financial resources
Excludes2 extreme poverty (Z59.5)
financial insecurity, not elsewhere classified (Z59.86)
low income (Z59.6)
Z59.89 Other problems related to housing and economic circumstances
Foreclosure on loan
Isolated dwelling
Problems with creditors
Z59.9 Problem related to housing and economic circumstances, unspecified
nonPrimary Yes
Z60 Problems related to social environment
Z60.0 Problems of adjustment to life-cycle transitions
Empty nest syndrome
Phase of life problem
Problem with adjustment to retirement [pension]
nonPrimary Yes
Z60.2 Problems related to living alone
nonPrimary Yes
Z60.3 Acculturation difficulty
Problem with migration
Problem with social transplantation
nonPrimary Yes
Z60.4 Social exclusion and rejection
Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behavior.
Social isolation
Excludes1 target of adverse discrimination such as for racial or religious reasons (Z60.5)
nonPrimary Yes
Z60.5 Target of (perceived) adverse discrimination and persecution
Excludes1 social exclusion and rejection (Z60.4)
nonPrimary Yes
Z60.8 Other problems related to social environment
Inadequate social support
Lack of emotional support
nonPrimary Yes
Z60.9 Problem related to social environment, unspecified
nonPrimary Yes
Z62 Problems related to upbringing
Includes current and past negative life events in childhood
current and past problems of a child related to upbringing
Excludes2 maltreatment syndrome (T74.-)
problems related to housing and economic circumstances (Z59.-)
Z62.0 Inadequate parental supervision and control
nonPrimary Yes
Z62.1 Parental overprotection
nonPrimary Yes
Z62.2 Upbringing away from parents
Excludes1 problems with boarding school (Z59.3)
Z62.21 Child in welfare custody
Child in foster care
Child in welfare guardianship
age Pediatric: [0-17]
nonPrimary Yes
Z62.22 Institutional upbringing
Child living in group home
Child living in orphanage
CodeAlso , if applicable, child in welfare custody (Z62.21)
nonPrimary Yes
Z62.23 Child in custody of non-parental relative
Child in care of non-parental family member
Child in custody of grandparent
Child in kinship care
Guardianship by non-parental relative
CodeAlso , if applicable, child in welfare custody (Z62.21)
Z62.24 Child in custody of non-relative guardian
CodeAlso , if applicable, child in welfare custody (Z62.21)
Z62.29 Other upbringing away from parents
nonPrimary Yes
Z62.3 Hostility towards and scapegoating of child
age Pediatric: [0-17]
nonPrimary Yes
Z62.6 Inappropriate (excessive) parental pressure
nonPrimary Yes
Z62.8 Other specified problems related to upbringing
CodeAlso , if applicable:
absence of family member (Z63.3-)
disappearance and death of family member (Z63.4)
disruption of family by separation and divorce (Z63.5)
other specified problems related to primary support group (Z63.8)
other stressful life events affecting family and household (Z63.7-)
Z62.81 Personal history of abuse in childhood
Personal history of abuse in adolescence
Z62.810 Personal history of physical and sexual abuse in childhood
Excludes1 current child physical abuse (T74.12, T76.12)
current child sexual abuse (T74.22, T76.22)
nonPrimary Yes
Z62.811 Personal history of psychological abuse in childhood
Excludes1 current child psychological abuse (T74.32, T76.32)
nonPrimary Yes
Z62.812 Personal history of neglect in childhood
Excludes1 current child neglect (T74.02, T76.02)
nonPrimary Yes
Z62.813 Personal history of forced labor or sexual exploitation in childhood
nonPrimary Yes
Z62.814 Personal history of child financial abuse
Excludes1 current child financial abuse (T74.A2)
Z62.815 Personal history of intimate partner abuse in childhood
Excludes2 adult and child abuse, neglect and other maltreatment, confirmed (T74.-)
Z62.819 Personal history of unspecified abuse in childhood
Excludes1 current child abuse NOS (T74.92, T76.92)
nonPrimary Yes
Z62.82 Parent-child conflict
Z62.820 Parent-biological child conflict
Parent-child problem NOS
nonPrimary Yes
Z62.821 Parent-adopted child conflict
nonPrimary Yes
Z62.822 Parent-foster child conflict
nonPrimary Yes
Z62.823 Parent-step child conflict
Z62.83 Non-parental relative or guardian-child conflict
Z62.831 Non-parental relative-child conflict
Grandparent-child conflict
Kinship-care child conflict
Non-parental relative legal guardian-child conflict
Other relative-child conflict
Excludes1 group home staff-child conflict (Z62.833)
Z62.832 Non-relative guardian-child conflict
Excludes1 group home staff-child conflict (Z62.833)
Z62.833 Group home staff-child conflict
Z62.89 Other specified problems related to upbringing
Z62.890 Parent-child estrangement NEC
nonPrimary Yes
Z62.891 Sibling rivalry
nonPrimary Yes
Z62.892 Runaway [from current living environment]
Child leaving living situation without permission
Z62.898 Other specified problems related to upbringing
nonPrimary Yes
Z62.9 Problem related to upbringing, unspecified
nonPrimary Yes
Z63 Other problems related to primary support group, including family circumstances
Excludes2 maltreatment syndrome (T74.-, T76)
parent-child problems (Z62.-)
problems related to negative life events in childhood (Z62.-)
problems related to upbringing (Z62.-)
Z63.0 Problems in relationship with spouse or partner
Relationship distress with spouse or intimate partner
Excludes1 counseling for spousal or partner abuse problems (Z69.1)
counseling related to sexual attitude, behavior, and orientation (Z70.-)
nonPrimary Yes
Z63.1 Problems in relationship with in-laws
nonPrimary Yes
Z63.3 Absence of family member
Excludes1 absence of family member due to disappearance and death (Z63.4)
absence of family member due to separation and divorce (Z63.5)
Z63.31 Absence of family member due to military deployment
Individual or family affected by other family member being on military deployment
Excludes1 family disruption due to return of family member from military deployment (Z63.71)
nonPrimary Yes
Z63.32 Other absence of family member
nonPrimary Yes
Z63.4 Disappearance and death of family member
Assumed death of family member
Bereavement
nonPrimary Yes
Z63.5 Disruption of family by separation and divorce
Marital estrangement
nonPrimary Yes
Z63.6 Dependent relative needing care at home
nonPrimary Yes
Z63.7 Other stressful life events affecting family and household
Z63.71 Stress on family due to return of family member from military deployment
Individual or family affected by family member having returned from military deployment (current or past conflict)
nonPrimary Yes
Z63.72 Alcoholism and drug addiction in family
nonPrimary Yes
Z63.79 Other stressful life events affecting family and household
Anxiety (normal) about sick person in family
Health problems within family
Ill or disturbed family member
Isolated family
nonPrimary Yes
Z63.8 Other specified problems related to primary support group
Family discord NOS
Family estrangement NOS
High expressed emotional level within family
Inadequate family support NOS
Inadequate or distorted communication within family
nonPrimary Yes
Z63.9 Problem related to primary support group, unspecified
Relationship disorder NOS
nonPrimary Yes
Z64 Problems related to certain psychosocial circumstances
Z64.0 Problems related to unwanted pregnancy
sex Female
nonPrimary Yes
Z64.1 Problems related to multiparity
sex Female
nonPrimary Yes
Z64.4 Discord with counselors
Discord with probation officer
Discord with social worker
nonPrimary Yes
Z65 Problems related to other psychosocial circumstances
Z65.0 Conviction in civil and criminal proceedings without imprisonment
nonPrimary Yes
Z65.1 Imprisonment and other incarceration
nonPrimary Yes
Z65.2 Problems related to release from prison
nonPrimary Yes
Z65.3 Problems related to other legal circumstances
Arrest
Child custody or support proceedings
Litigation
Prosecution
nonPrimary Yes
Z65.4 Victim of crime and terrorism
Victim of torture
nonPrimary Yes
Z65.5 Exposure to disaster, war and other hostilities
Excludes1 target of perceived discrimination or persecution (Z60.5)
nonPrimary Yes
Z65.8 Other specified problems related to psychosocial circumstances
At risk for feeling loneliness
Religious or spiritual problem
nonPrimary Yes
Z65.9 Problem related to unspecified psychosocial circumstances
nonPrimary Yes