2027 ICD-10-CM Diagnosis Code Z64Problems related to certain psychosocial circumstances

ICD-10-CM Codes›Z00–Z99›Z55-Z65›Z64

ICD-10-CM Z64
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Z64 is a non-billable ICD-10-CM category code for problems related to certain psychosocial circumstances, so it cannot be submitted on claims. Use a more specific code from this category instead, such as Z64.0, Z64.1, and Z64.4.

Code Identity

ICD-10-CM Code
Z64
Billable Status
No — Non-Billable Category
Code Describes
Problems related to certain psychosocial circumstances
Short Description
Problems related to certain psychosocial circumstances
Same as the full description in the CMS dataset.
Chapter
Z55-Z65
Persons with potential health hazards related to socioeconomic and psychosocial circumstances

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ55-Z65Persons with potential health hazards related to socioeconomic and psychosocial circumstances
CategoryZ64Problems related to certain psychosocial circumstances
This CodeZ64Problems related to certain psychosocial circumstances

Specific Coding for Problems related to certain psychosocial circumstancesOverview

Non-specific codes like Z64 require more characters. Use one of these billable codes instead:

  • Use Z64.0 for Problems related to unwanted pregnancy

  • Use Z64.1 for Problems related to multiparity

  • Use Z64.4 for Discord with counselors

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Z64: its own notes plus those printed at Chapter 21. A note printed at a category, block or chapter applies to every code under it.

Notes

General instructions on how these codes are used.

From Chapter 21 (Z00-Z99) Factors influencing health status and contact with health services applies to 1,425 codes
  • 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.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Z64Overview

What is the ICD-10 code for problems related to certain psychosocial circumstances?

Z64 is the ICD-10-CM category for problems related to certain psychosocial circumstances, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is Z64 (Problems related to certain psychosocial circumstances) a billable code?

No. This is a category header that groups the codes for problems related to certain psychosocial circumstances, and headers cannot be submitted on claims. Claims for problems related to certain psychosocial circumstances need a more specific code from this category, such as Z64.0, Z64.1, and Z64.4.