2027 ICD-10-CM Diagnosis Code Z59.87Material hardship due to limited financial resources, not elsewhere classified

ICD-10-CM Codes›Z00–Z99›Z55-Z65›Z59

ICD-10-CM Z59.87
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z59.87 is a billable ICD-10-CM diagnosis code for material hardship due to limited financial resources, not elsewhere classified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Socioeconomic/psychosocial factors.

Code Identity

ICD-10-CM Code
Z59.87
Billable Status
Yes — Valid for Submission
Code Describes
Material hardship due to limited financial resources, not elsewhere classified
Short Description
Material hardship due to limited financial resources, NEC
Parent Code
Z59.8
Other problems related to housing and economic circumstances

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ55-Z65Persons with potential health hazards related to socioeconomic and psychosocial circumstances
CategoryZ59Problems related to housing and economic circumstances
This CodeZ59.87Material hardship due to limited financial resources, not elsewhere classified

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z59.87.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z59.87 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Cold environment
  • Environmental safety problem
  • Finding related to dependent adult care
  • Hot environment
  • Household energy poverty
  • Household energy poverty due to limited financial resources
  • Household utility insecurity
  • Household utility insecurity due to limited financial resources
  • Housing insecurity
  • Inadequate clothing due to limited financial resources
  • Inadequate digital access
  • Inadequate digital access due to limited financial resources
  • Inadequate digital access due to limited financial resources for digital device
  • Inadequate digital access due to limited financial resources for subscribing to adequate internet service
  • Keeps residence uncomfortably cold due to limited financial resources
  • Keeps residence uncomfortably hot due to limited financial resources
  • Reduced energy service use in residence due to limited financial resources
  • Reduced water service use in residence due to limited financial resources
  • Unable to cool residence due to limited financial resources
  • Unable to heat residence due to limited financial resources
  • Unable to obtain adult dependent care due to limited financial resources
  • Unable to obtain childcare due to limited financial resources
  • Unable to obtain clinical equipment and/or device due to limited financial resources
  • Unable to obtain electricity in residence due to limited financial resources
  • Unable to obtain health insurance coverage due to limited financial resources
  • Unable to obtain healthcare due to limited financial resources
  • Unable to obtain internet service in residence due to limited financial resources
  • Unable to obtain telephone due to limited financial resources
  • Unable to obtain telephone service due to limited financial resources
  • Unable to obtain water in residence due to limited financial resources
  • Uses unsafe methods to heat residence due to limited financial resources
  • Warm environment

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z59.87: its own notes plus those printed at Z59 and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • 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 basic needs due to limited financial resources

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

On Z59.87 itself
  • extreme poverty (Z59.5)
  • financial insecurity, not elsewhere classified (Z59.86-)
  • low income (Z59.6)
From Z59 Problems related to housing and economic circumstances applies to 25 codes
  • problems related to upbringing (Z62.-)

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • 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.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name Z59.87, its category, or a range that includes it.

Excludes2 5

These codes carry an Excludes2 note naming Z59.87: its condition is not part of those codes, and both may be reported when the patient has both.

  • Z59.819 Housing instability, housed unspecified
    material hardship due to limited financial resources, not elsewhere classified (Z59.87)
  • Z59.86 Financial insecurity
    material hardship, not elsewhere classified (Z59.87)
  • Z56 Problems related to employment and unemployment
    problems related to housing and economic circumstances (Z59.-) names Z59.-, which includes this code
  • Z59.12 Inadequate housing utilities
    other problems related to housing and economic circumstances (Z59.8-) names Z59.8-, which includes this code
  • Z62 Problems related to upbringing
    problems related to housing and economic circumstances (Z59.-) names Z59.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC019
Socioeconomic/psychosocial factors
Default principal diagnosis: inpatient No · outpatient No

Code History & ChangesHistory

Replacement Z59.87 replaces the following previously assigned code(s):

  • Z59.89 - Other problems related to housing and economic circumstances
FY 2023AddedAdded to the ICD-10-CM code setEffective October 1, 2022.
FY 2024–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z59.87Overview

Is Z59.87 (Other problems related to housing and economic circumstances) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report material hardship due to limited financial resources, not elsewhere classified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z59.87 group to?

On inpatient claims, material hardship due to limited financial resources, not elsewhere classified maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.

Can Z59.87 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because material hardship due to limited financial resources, not elsewhere classified describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z59.87 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for material hardship due to limited financial resources, not elsewhere classified on inpatient claims. The code appears in the Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65) range of the CMS exempt list.