ICD-10-CM Code Z60.8

Other problems related to social environment

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

Z60.8 is a billable code used to specify a medical diagnosis of other problems related to social environment. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z60.8 might also be used to specify conditions or terms like adherence to rules and boundaries - finding, adherence to rules and boundaries - finding, breakup of romance, community infestation, difficulty adhering to rules and boundaries, difficulty with community participation, etc

The code Z60.8 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

ICD-10:Z60.8
Short Description:Other problems related to social environment
Long Description:Other problems related to social environment

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z60.8 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • 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.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Adherence to rules and boundaries - finding
  • Adherence to rules and boundaries - finding
  • Breakup of romance
  • Community infestation
  • Difficulty adhering to rules and boundaries
  • Difficulty with community participation
  • Does not adhere to rules and boundaries
  • English as a second language
  • Friend arrested
  • Girlfriend arrested
  • Health belief conflict
  • High community crime rate
  • Inadequate social support
  • Ineffective community coping
  • Lack of trust
  • Lack of trust in healthcare provider
  • Language difficulty
  • Limited social contact
  • Minimal outside social stimulation
  • Patient dependence on care provider
  • Peer problem
  • Peer problem in remission
  • Receives no social support
  • Reports of violence in the environment
  • Second language - finding
  • Social adjustment problem
  • Social interaction alteration
  • Social maladjustment
  • Social maladjustment
  • Social problem
  • Social problem not due to a mental disorder
  • Social support status
  • Speaks English poorly
  • Threats of violence in the environment
  • Use of health care provider for social contact

Convert Z60.8 to ICD-9

  • V62.89 - Psychological stress NEC (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
      • Problems related to social environment (Z60)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020