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  2. ICD-10-CM Codes List
  3. Z00–Z99
  4. Z55-Z65
  5. Other problems related to primary support group, including family circumstances (Z63)

Other problems related to primary support group, including family circumstances (Z63)

The ICD-10 code section Z63 covers a range of problems related to the primary support group, such as family and household circumstances affecting emotional and social well-being. These codes help identify issues like relationship difficulties, family member absence, and stressful life events impacting family dynamics.

This section includes specific codes like Z63.0 for problems in relationships with spouses or partners; including marital conflict and abusive emotional relationships; and Z63.1 for difficulties with in-laws. Codes Z63.3 and its subcategories cover absence of family members, such as military deployment (Z63.31) or imprisonment (Z63.32). Bereavement and family member death are captured under Z63.4, addressing stages of grief and family disruption. Family separation or divorce issues fall under Z63.5, while care for dependent relatives is documented with Z63.6. Stressful family events like substance abuse are coded as Z63.72. The broad Z63.8 code captures other specified family support problems, including emotional neglect or family disruption without divorce. Understanding these nuances ensures accurate use of the ICD-10 code for family and social support difficulties in healthcare documentation and billing.

Instructional Notations

Type 2 Excludes

A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

  • maltreatment syndrome T74 T76
  • parent-child problems Z62
  • problems related to negative life events in childhood Z62
  • problems related to upbringing Z62

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

Bereavement

Refers to the whole process of grieving and mourning and is associated with a deep sense of loss and sadness.

Divorce

Legal dissolution of an officially recognized marriage relationship.

Family Conflict

Struggle or disagreement between parents, parent and child or other members of a family.

Hospice Care

Specialized health care, supportive in nature, provided to a dying person. A holistic approach is often taken, providing patients and their families with legal, financial, emotional, or spiritual counseling in addition to meeting patients' immediate physical needs. Care may be provided in the home, in the hospital, in specialized facilities (HOSPICES), or in specially designated areas of long-term care facilities. The concept also includes bereavement care for the family. (From Dictionary of Health Services Management, 2d ed)

Hospices

Facilities or services which are especially devoted to providing palliative and supportive care to the patient with a terminal illness and to the patient's family.

Single Person

The unmarried man or woman.