Valid for Submission
Z65.9 is a billable diagnosis code used to specify a medical diagnosis of problem related to unspecified psychosocial circumstances. The code Z65.9 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code Z65.9 might also be used to specify conditions or terms like at risk for loneliness, at risk for spiritual dysfunction, medication non-adherence due to psychosocial issues, non-compliance of drug therapy or personal problems. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code Z65.9 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.
Unspecified diagnosis codes like Z65.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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 Z65.9 are found in the index:
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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- At risk for loneliness
- At risk for spiritual dysfunction
- Medication non-adherence due to psychosocial issues
- Non-compliance of drug therapy
- Personal problems
Present on Admission (POA)
Convert Z65.9 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Z65.9 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.