Z63.4 - Disappearance and death of family member
| ICD-10: | Z63.4 |
| Short Description: | Disappearance and death of family member |
| Long Description: | Disappearance and death of family member |
| Status: | Valid for Submission |
| Version: | ICD-10-CM 2023 |
| Code Classification: |
Z63.4 is a billable ICD-10 code used to specify a medical diagnosis of disappearance and death of family member. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
This code 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.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Acceptance stage of grief
- Adapting to loss following bereavement
- Anger stage of grief
- Bargaining stage of grief
- Bereavement
- Bereavement in remission
- Child of patient deceased
- Chronic sorrow
- Conflicting stages of grief
- Conflicting stages of grief among family members
- Death of pet
- Death of relative
- Denial stage of grief
- Despair stage of grief
- Disappearance of partner
- Disappearance of relative
- Expected bereavement
- Family bereavement
- Family disruption due to death of family member
- Family history of relative killed
- Family member deceased
- Father deceased
- Guided mourning
- Guilt stage of grief
- Husband deceased
- Infant of patient deceased
- Mother deceased
- Parents deceased
- Partner deceased
- Reflecting stage of grief
- Relative dying
- Sibling deceased
- Spouse deceased
- Sudden bereavement
- Unexpected bereavement
- Wife deceased
Clinical Information
- Bereavement-. refers to the whole process of grieving and mourning and is associated with a deep sense of loss and sadness.
- Hospice Care-. specialized health care, supportive in nature, provided to a dying person. a holistic approach is often taken, providing patients and their families with legal, financial, emotional, or spiritual counseling in addition to meeting patients' immediate physical needs. care may be provided in the home, in the hospital, in specialized facilities (hospices), or in specially designated areas of long-term care facilities. the concept also includes bereavement care for the family. (from dictionary of health services management, 2d ed)
- Hospices-. facilities or services which are especially devoted to providing palliative and supportive care to the patient with a terminal illness and to the patient's family.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Assumed death of family member
- Bereavement
Index to Diseases and Injuries References
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 this diagnosis code are found in the injuries and diseases index:
- - Bereavement (uncomplicated) - Z63.4
- - Death (cause unknown) (of) (unexplained) (unspecified cause) - R99
- - family member (assumed) - Z63.4
- - Disappearance of family member - Z63.4
- - Disruption (of)
- - family - Z63.8
- - due to
- - bereavement - Z63.4
- - death (assumed) or disappearance of family member - Z63.4
- - due to
- - family - Z63.8
- - Loss (of)
- - parent in childhood - Z63.4
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.
Present on Admission (POA)
Z63.4 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
| POA Indicator Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert to ICD-9 Code
| Source ICD-10 Code | Target ICD-9 Code | |
|---|---|---|
| Z63.4 | V61.07 - Family dsrpt-death membr | |
| Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. | ||
| Z63.4 | V61.8 - Family circumstances NEC | |
| Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. | ||
| Z63.4 | V62.82 - Bereavement, uncomplicat | |
| Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. | ||
Patient Education
Bereavement
Bereavement is the period of grief and mourning after a death. When you grieve, it's part of the normal process of reacting to a loss. You may experience grief as a mental, physical, social or emotional reaction. Mental reactions can include anger, guilt, anxiety, sadness and despair. Physical reactions can include sleeping problems, changes in appetite, physical problems or illness.
How long bereavement lasts can depend on how close you were to the person who died, if the person's death was expected and other factors. Friends, family and faith may be sources of support. Grief counseling or grief therapy is also helpful to some people.
NIH: National Cancer Institute
[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)