2027 ICD-10-CM Diagnosis Code Z63.72Alcoholism and drug addiction in family
Z63.72 is a billable ICD-10-CM diagnosis code for alcoholism and drug addiction in family. 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 Z63.72.
Present on Admission (POA)Billing
Z63.72 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.
- Alcohol misuser in household
- Alcoholic family syndrome
- Alteration in family processes
- Child of subject has alcohol dependence
- Child of subject has alcohol use disorder
- Dysfunctional family due to alcoholism
- Family history of substance dependency
- Husband has alcohol dependence
- Husband has alcohol use disorder
- Parent has alcohol dependence
- Parent has alcohol use disorder
- Parental health issue
- Partner has harmful pattern of substance use
- Partner has problematic alcohol consumption
- Spouse has alcohol dependence
- Spouse has alcohol use disorder
- Wife has alcohol dependence
- Wife has alcohol use disorder
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z63.72: its own notes plus those printed at Z63 and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
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.
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 Z63.72, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming Z63.72: its condition is not part of those codes, and both may be reported when the patient has both.
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.
Patient EducationClinical
Alcohol Use Disorder (AUD)
For most adults, moderate alcohol use is probably not harmful. Your risk of developing an alcohol use disorder (AUD) depends on how much, how often, and how quickly you drink alcohol. Alcohol misuse means that drinking causes distress and harm. Over time alcohol misuse can increase your risk of AUD.
The full article covers:
- What is alcohol use disorder (AUD)?
- What is binge drinking?
- What are the dangers of too much alcohol?
- How do I know if I have an alcohol use disorder (AUD)?
- What should I do if I think that I might have an alcohol use disorder (AUD)?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert Z63.72 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z63.72Overview
What is the ICD-10 code for alcoholism and drug addiction in family?
The ICD-10-CM code for alcoholism and drug addiction in family is Z63.72 (sometimes written as Z6372). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z63.72 (Other stressful life events affecting family and household) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report alcoholism and drug addiction in family on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z63.72 group to?
On inpatient claims, alcoholism and drug addiction in family 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 Z63.72 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because alcoholism and drug addiction in family describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z63.72 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 alcoholism and drug addiction in family 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.
