2027 ICD-10-CM Diagnosis Code Z62.22Institutional upbringing

ICD-10-CM Codes›Z00–Z99›Z55-Z65›Z62

ICD-10-CM Z62.22
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z62.22 is a billable ICD-10-CM diagnosis code for institutional upbringing. 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. Coders also document this condition as institutionalized childhood. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Socioeconomic/psychosocial factors.

Code Identity

ICD-10-CM Code
Z62.22
Billable Status
Yes — Valid for Submission
Code Describes
Institutional upbringing
Short Description
Institutional upbringing
Same as the full description in the CMS dataset.
Parent Code
Z62.2
Upbringing away from parents

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ55-Z65Persons with potential health hazards related to socioeconomic and psychosocial circumstances
CategoryZ62Problems related to upbringing
This CodeZ62.22Institutional upbringing

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z62.22.

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

Z62.22 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.

  • Institutionalized childhood
  • Type of upbringing - finding

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z62.22: its own notes plus those printed at Z62.2, Z62, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Z62 Problems related to upbringing applies to 28 codes
  • current and past negative life events in childhood
  • current and past problems of a child related to upbringing

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.

  • Child living in group home
  • Child living in orphanage

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Z62.2 Upbringing away from parents applies to 5 codes
  • problems with boarding school (Z59.3)

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.

From Z62 Problems related to upbringing applies to 28 codes
  • maltreatment syndrome (T74.-)
  • problems related to housing and economic circumstances (Z59.-)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

  • if applicable, child in welfare custody (Z62.21)

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 Z62.22, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming Z62.22: they are not reported together with it, unless the two conditions are unrelated.

  • Z59.3 Problems related to living in residential institution
    institutional upbringing (Z62.22)

Excludes2 4

These codes carry an Excludes2 note naming Z62.22: its condition is not part of those codes, and both may be reported when the patient has both.

  • Z59 Problems related to housing and economic circumstances
    problems related to upbringing (Z62.-) names Z62.-, which includes this code
  • Z63 Other problems related to primary support group, including family circumstances
    parent-child problems (Z62.-) names Z62.-, which includes this code
  • Z63 Other problems related to primary support group, including family circumstances
    problems related to negative life events in childhood (Z62.-) names Z62.-, which includes this code
  • Z63 Other problems related to primary support group, including family circumstances
    problems related to upbringing (Z62.-) names Z62.-, 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

Convert Z62.22 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V61.06 Family dsrpt-foster care
Approximate The match is approximate rather than exact.
ICD-9-CM
V61.8 Family circumstances NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z62.22Overview

What is the ICD-10 code for institutional upbringing?

The ICD-10-CM code for institutional upbringing is Z62.22 (sometimes written as Z6222). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Z62.22 (Upbringing away from parents) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report institutional upbringing on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z62.22 group to?

On inpatient claims, institutional upbringing 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 Z62.22 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because institutional upbringing describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z62.22 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 institutional upbringing 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.