2027 ICD-10-CM Diagnosis Code Z62.23Child in custody of non-parental relative

ICD-10-CM Codes›Z00–Z99›Z55-Z65›Z62

ICD-10-CM Z62.23
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z62.23 is a billable ICD-10-CM diagnosis code for child in custody of non-parental relative. 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 restricted by the Medicare Code Editor to pediatric patients (age 0 through 17), not accepted as a principal diagnosis, 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
Z62.23
Billable Status
Yes — Valid for Submission
Code Describes
Child in custody of non-parental relative
Short Description
Child in custody of non-parental relative
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 CodeZ62.23Child in custody of non-parental relative

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z62.23.

Pediatric diagnoses
The Medicare Code Editor detects inconsistencies in pediatric cases by checking a patient's age and any diagnosis on the patient's record. The pediatric code edits apply to patients age range is 0–17 years inclusive (e.g., Reye's syndrome, routine child health exam).
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

Z62.23 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).

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z62.23: 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 in care of non-parental family member
  • Child in custody of grandparent
  • Child in kinship care
  • Guardianship by non-parental relative

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 Z62.23, its category, or a range that includes it.

Excludes2 4

These codes carry an Excludes2 note naming Z62.23: 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

Code History & ChangesHistory

Replacement Z62.23 replaces the following previously assigned code(s):

  • Z62.29 - Other upbringing away from parents
FY 2024AddedAdded to the ICD-10-CM code setEffective October 1, 2023.
FY 2025–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z62.23Overview

What is the ICD-10 code for child in custody of non-parental relative?

The ICD-10-CM code for child in custody of non-parental relative is Z62.23 (sometimes written as Z6223). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Z62.23 (Upbringing away from parents) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report child in custody of non-parental relative on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Z62.23 group to?

On inpatient claims, child in custody of non-parental relative 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 Z62.23 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because child in custody of non-parental relative describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Who can Z62.23 be reported for?

The Medicare Code Editor checks child in custody of non-parental relative against patient demographics: this code is intended for pediatric patients (age 0 through 17). Claims outside these limits are flagged as inconsistent.