2026 ICD-10-CM Diagnosis Code Z63.72Alcoholism and drug addiction in family

ICD-10-CM Codes›Z00–Z99›Z55-Z65›Z63

ICD-10-CM Z63.72
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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 2026 (October 1, 2025 through September 30, 2026). 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

ICD-10-CM Code
Z63.72
Billable Status
Yes — Valid for Submission
Code Describes
Alcoholism and drug addiction in family
Short Description
Alcoholism and drug addiction in family
Same as the full description in the CMS dataset.
Parent Code
Z63.7
Other stressful life events affecting family and household

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ55-Z65Persons with potential health hazards related to socioeconomic and psychosocial circumstances
CategoryZ63Other problems related to primary support group, including family circumstances
This CodeZ63.72Alcoholism and drug addiction in family

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z63.72.

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

Z63.72 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

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

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disruption(of)
      • family
        • due to
          • alcoholism and drug addiction in family
    • Disruption(of)
      • family
        • due to
          • drug addiction in family
    • Problem(with) (related to)
      • alcoholism in family
    • Problem(with) (related to)
      • drug addict in family

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC019
Socioeconomic/psychosocial factors
Default principal diagnosis: inpatient No · outpatient No

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.

ICD-9-CM
V61.41 Alcoholism in family
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z63.72Overview

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, 2025 through September 30, 2026.

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.

What is the ICD-9 equivalent of Z63.72?

Under the General Equivalence Mappings, alcoholism and drug addiction in family converts to ICD-9-CM V61.41 (alcoholism in family). The mapping is approximate, so confirm the match fits the documentation.