2026 ICD-10-CM Diagnosis Code Z60.5Target of (perceived) adverse discrimination and persecution
Z60.5 is a billable ICD-10-CM diagnosis code for target of (perceived) adverse discrimination and persecution. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor. Coders also document this condition as bullied at school. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Socioeconomic/psychosocial factors.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z60.5.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Bullied at school
- Persecution
- Political discrimination
- Religious discrimination
- Victim of bullying
- Victim of bullying when not in school
- Victim of discrimination
- Victim of persecution
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Type 1 Excludes
- social exclusion and rejection Z60.4
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Exposure (to) - See Also: Contact, with; - T75.89
- discrimination - Z60.5
- persecution - Z60.5
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Discrimination
- ethnic
- Discrimination
- political
- Discrimination
- racial
- Discrimination
- religious
- Discrimination
- sex
- Exposure(to)
- discrimination
- Exposure(to)
- persecution
- Maladjustment
- social
- due to
- discrimination and persecution (perceived)
- Persecution
- social
- Social
- exclusion
- due to discrimination or persecution (perceived)
- Social
- rejection
- due to discrimination or persecution
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert Z60.5 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z60.5Overview
Is Z60.5 (Problems related to social environment) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report target of (perceived) adverse discrimination and persecution on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Can Z60.5 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because target of (perceived) adverse discrimination and persecution describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
What is the ICD-9 equivalent of Z60.5?
Under the General Equivalence Mappings, target of (perceived) adverse discrimination and persecution converts to ICD-9-CM V62.4 (social maladjustment). The mapping is approximate, so confirm the match fits the documentation.
