ICD-10-CM Code Z63.8

Other specified problems related to primary support group

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z63.8 is a billable code used to specify a medical diagnosis of other specified problems related to primary support group. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z63.8 might also be used to specify conditions or terms like abuse counseling for offending parent, abusive emotional relationship, abusive emotional relationship, abusive emotional relationship with child, abusive emotional relationship with parents, alteration in family processes, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z63.8 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.

ICD-10:Z63.8
Short Description:Other specified problems related to primary support group
Long Description:Other specified problems related to primary support group

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z63.8:

Inclusion Terms

Inclusion Terms
These 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.
  • Family discord NOS
  • Family estrangement NOS
  • High expressed emotional level within family
  • Inadequate family support NOS
  • Inadequate or distorted communication within family

Index to Diseases and Injuries

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 the code Z63.8 are found in the index:


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.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abuse counseling for offending parent
  • Abusive emotional relationship
  • Abusive emotional relationship
  • Abusive emotional relationship with child
  • Abusive emotional relationship with parents
  • Alteration in family processes
  • Ambivalent relationship
  • Approach avoidance relationship
  • Boyfriend arrested
  • Caregiver has sole parental responsibility
  • Codependency
  • Codependency in remission
  • Depressive position relationship
  • Difficulty with parents
  • Disturbed family
  • Drug misuser in household
  • Dyadic symbiosis
  • Emotional relationship
  • Emotional relationship
  • Family conflict
  • Family coping: potential for growth
  • Family difficulty with crying infant
  • Family disruption
  • Family disruption due to child in welfare custody
  • Family disruption due to child under care of non-parental relative
  • Family disruption in remission
  • Family disruption without divorce
  • Family distress
  • Family employment circumstance
  • Family grieving
  • Family isolation
  • Family maladjustment
  • Family maladjustment
  • Family member on protection register
  • Family member removed from protection register
  • Family milestones - finding
  • Family problems
  • Family row
  • Friend arrested
  • Home problems
  • Home unsettled
  • Husband arrested
  • Husband unwell
  • Imprisonment of family member
  • Ineffective family coping
  • Ineffective family coping: compromised
  • Ineffective family coping: disabling
  • Lack of family support
  • Lacks emotional support
  • Legal problem in family
  • Member of atypical family
  • No contact with family
  • Paranoid schizoid position relationship
  • Parent on probation
  • Parent unemployed
  • Parental concern about child
  • Parental marital problems
  • Partner unwell
  • Partner unwell
  • Partner unwell
  • Passive aggressive relationship
  • Paternity dispute
  • Poor attachment to primary caregiver
  • Primary caregiver has poor support network
  • Psychodynamic relationship finding
  • Psychodynamic relationship finding
  • Psychodynamic relationship finding
  • Psychodynamic relationship finding
  • Psychodynamic relationship finding
  • Rest pattern disrupts family lifestyle
  • Sibling relationship problem
  • Single person
  • Sleep pattern disrupts family lifestyle
  • Sleep rest pattern finding
  • Sleep rest pattern finding
  • Spouse arrested
  • Spouse unwell
  • Spouse unwell
  • Stress
  • Stress due to family tension
  • Triadic symbiosis
  • Unemployed mother
  • Vulnerable child in family
  • Widow
  • Widowed
  • Widower
  • Wife arrested
  • Wife unwell

Present on Admission (POA)

Z63.8 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 CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z63.8 to ICD-9

  • V61.09 - Family disruption NEC (Approximate Flag)
  • V61.8 - Family circumstances NEC (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
      • Oth prob rel to prim support group, inc family circumstances (Z63)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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.

Families are much more than groups of people who share the same genes or the same address. They should be a source of love and support. This does not mean that everyone gets along all the time. Conflicts are a part of family life. Many things can lead to conflict, such as illness, disability, addiction, job loss, school problems, and marital issues. Listening to each other and working to resolve conflicts are important in strengthening the family.


[Learn More]