2027 ICD-10-CM Diagnosis Code Z62.890Parent-child estrangement NEC
Z62.890 is a billable ICD-10-CM diagnosis code for parent-child estrangement NEC. 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
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z62.890.
Present on Admission (POA)Billing
Z62.890 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.
- Bonding problems
- Child deserted by mother
- Child deserted by parents
- Deserted by father
- Deserted by mother
- Deserted by parents
- Difficulty bonding with unborn baby
- Family disruption due to parent-child estrangement
- Family milestones - finding
- Parent child estrangement
- Type of upbringing - finding
- Weak mother-infant attachment
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z62.890: its own notes plus those printed at Z62.8, 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.
- current and past negative life events in childhood
- current and past problems of a child related to upbringing
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.
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
Notes
General instructions on how these codes are used.
- 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 Z62.890, its category, or a range that includes it.
Excludes2 4
These codes carry an Excludes2 note naming Z62.890: 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 circumstancesproblems related to upbringing (Z62.-) names Z62.-, which includes this code
- Z63 Other problems related to primary support group, including family circumstancesparent-child problems (Z62.-) names Z62.-, which includes this code
- Z63 Other problems related to primary support group, including family circumstancesproblems related to negative life events in childhood (Z62.-) names Z62.-, which includes this code
- Z63 Other problems related to primary support group, including family circumstancesproblems related to upbringing (Z62.-) names Z62.-, which includes this code
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Parent-child conflict See: Conflict, parent-child;
estrangement NEC Z62.890
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Family Issues
There are many kinds of families. Some have two parents, while others have a single parent. Sometimes there is no parent and grandparents raise grandchildren. Some children live in foster families, adoptive families, or in stepfamilies.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z62.890 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z62.890Overview
What is the ICD-10 code for parent-child estrangement NEC?
The ICD-10-CM code for parent-child estrangement NEC is Z62.890 (sometimes written as Z62890). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z62.890 (Other specified problems related to upbringing) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report parent-child estrangement NEC on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z62.890 group to?
On inpatient claims, parent-child estrangement NEC 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 Z62.890 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because parent-child estrangement NEC describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z62.890 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 parent-child estrangement NEC 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.
