Z64

Problems related to certain psychosocial circumstances

FY2027Chapter 21: Factors influencing health status and contact with health services/Z55–Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

    Z64 is a non-billable ICD-10-CM code category for problems related to certain psychosocial circumstances. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are Z64.0 Problems related to unwanted pregnancy, Z64.1 Problems related to multiparity and Z64.4 Discord with counselors.

    Notes

    Also from chapter/block level (3 notes)
    Inherited from Chapter 21 Factors influencing health status and contact with health services
    • 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.

    More specific codes under Z64 3