Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)

ICD-10 codes Z55-Z65 are used to identify individuals facing health risks due to various socioeconomic and psychosocial circumstances. These range from educational and employment challenges to housing difficulties and social environment problems.

This code range covers issues like educational difficulties including illiteracy (Z55.0), failure in school examinations (Z55.2), and problems with health literacy (Z55.6). Employment-related concerns include unemployment (Z56.0), stressful work schedules (Z56.3), or workplace harassment (Z56.81). Codes also address occupational exposures to hazards like noise (Z57.0), radiation (Z57.1), and dust (Z57.2). Housing and economic problems such as homelessness (Z59.0), inadequate housing (Z59.1), food insecurity (Z59.41), and financial insecurity (Z59.86) are captured. Social environment codes include difficulties with adjustment to life transitions (Z60.0), social exclusion (Z60.4), and discrimination (Z60.5). Issues related to upbringing, including parental supervision problems (Z62.0) and history of abuse (Z62.81), are detailed as well. Family and primary support group problems such as relationship conflicts (Z63.0) and family stress (Z63.7) are included. Lastly, psychosocial factors like unwanted pregnancy (Z64.0), incarceration (Z65.1), exposure to disaster or crime victimization (Z65.4, Z65.5), and other psychosocial difficulties (Z65.8) are coded.

These codes help healthcare providers and coders document and address social determinants that may affect patient health, guiding interventions tailored to individual circumstances. Using precise terms like illiteracy, unemployment, housing instability, food insecurity, social exclusion, parental supervision issues, and victim of crime makes selecting the correct code easier and supports comprehensive care planning.

  • Factors influencing health status and contact with health services (Z00–Z99)

    • Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)

        • Problems related to education and literacy (Z55)

        • Z55 Problems related to education and literacy
        • Z55.0 Illiteracy and low-level literacy
        • Z55.1 Schooling unavailable and unattainable
        • Z55.2 Failed school examinations
        • Z55.3 Underachievement in school
        • Z55.4 Educational maladjustment and discord with teachers and classmates
        • Z55.5 Less than a high school diploma
        • Z55.6 Problems related to health literacy
        • Z55.8 Other problems related to education and literacy
        • Z55.9 Problems related to education and literacy, unspecified
        • Occupational exposure to risk factors (Z57)

        • Z57 Occupational exposure to risk factors
        • Z57.0 Occupational exposure to noise
        • Z57.1 Occupational exposure to radiation
        • Z57.2 Occupational exposure to dust
        • Z57.3 Occupational exposure to other air contaminants
        • Z57.31 Occupational exposure to environmental tobacco smoke
        • Z57.39 Occupational exposure to other air contaminants
        • Z57.4 Occupational exposure to toxic agents in agriculture
        • Z57.5 Occupational exposure to toxic agents in other industries
        • Z57.6 Occupational exposure to extreme temperature
        • Z57.7 Occupational exposure to vibration
        • Z57.8 Occupational exposure to other risk factors
        • Z57.9 Occupational exposure to unspecified risk factor
        • Problems related to housing and economic circumstances (Z59)

        • Z59 Problems related to housing and economic circumstances
        • Z59.0 Homelessness
        • Z59.00 Homelessness unspecified
        • Z59.01 Sheltered homelessness
        • Z59.02 Unsheltered homelessness
        • Z59.1 Inadequate housing
        • Z59.10 Inadequate housing, unspecified
        • Z59.11 Inadequate housing environmental temperature
        • Z59.12 Inadequate housing utilities
        • Z59.19 Other inadequate housing
        • Z59.2 Discord with neighbors, lodgers and landlord
        • Z59.3 Problems related to living in residential institution
        • Z59.4 Lack of adequate food
        • Z59.41 Food insecurity
        • Z59.48 Other specified lack of adequate food
        • Z59.5 Extreme poverty
        • Z59.6 Low income
        • Z59.7 Insufficient social insurance and welfare support
        • Z59.71 Insufficient health insurance coverage
        • Z59.72 Insufficient welfare support
        • Z59.8 Other problems related to housing and economic circumstances
        • Z59.81 Housing instability, housed
        • Z59.811 Housing instability, housed, with risk of homelessness
        • Z59.812 Housing instability, housed, homelessness in past 12 months
        • Z59.819 Housing instability, housed unspecified
        • Z59.82 Transportation insecurity
        • Z59.86 Financial insecurity DELETED CODE
        • Z59.861 Financial insecurity, difficulty paying for utilities NEW CODE
        • Z59.868 Other specified financial insecurity NEW CODE
        • Z59.869 Financial insecurity, unspecified NEW CODE
        • Z59.87 Material hardship due to limited financial resources, not elsewhere classified
        • Z59.89 Other problems related to housing and economic circumstances
        • Z59.9 Problem related to housing and economic circumstances, unspecified
        • Problems related to social environment (Z60)

        • Z60 Problems related to social environment
        • Z60.0 Problems of adjustment to life-cycle transitions
        • Z60.2 Problems related to living alone
        • Z60.3 Acculturation difficulty
        • Z60.4 Social exclusion and rejection
        • Z60.5 Target of (perceived) adverse discrimination and persecution
        • Z60.8 Other problems related to social environment
        • Z60.9 Problem related to social environment, unspecified
        • Problems related to upbringing (Z62)

        • Z62 Problems related to upbringing
        • Z62.0 Inadequate parental supervision and control
        • Z62.1 Parental overprotection
        • Z62.2 Upbringing away from parents
        • Z62.21 Child in welfare custody
        • Z62.22 Institutional upbringing
        • Z62.23 Child in custody of non-parental relative
        • Z62.24 Child in custody of non-relative guardian
        • Z62.29 Other upbringing away from parents
        • Z62.3 Hostility towards and scapegoating of child
        • Z62.6 Inappropriate (excessive) parental pressure
        • Z62.8 Other specified problems related to upbringing
        • Z62.81 Personal history of abuse in childhood
        • Z62.810 Personal history of physical and sexual abuse in childhood
        • Z62.811 Personal history of psychological abuse in childhood
        • Z62.812 Personal history of neglect in childhood
        • Z62.813 Personal history of forced labor or sexual exploitation in childhood
        • Z62.814 Personal history of child financial abuse
        • Z62.815 Personal history of intimate partner abuse in childhood
        • Z62.819 Personal history of unspecified abuse in childhood
        • Z62.82 Parent-child conflict
        • Z62.820 Parent-biological child conflict
        • Z62.821 Parent-adopted child conflict
        • Z62.822 Parent-foster child conflict
        • Z62.823 Parent-step child conflict
        • Z62.83 Non-parental relative or guardian-child conflict
        • Z62.831 Non-parental relative-child conflict
        • Z62.832 Non-relative guardian-child conflict
        • Z62.833 Group home staff-child conflict
        • Z62.89 Other specified problems related to upbringing
        • Z62.890 Parent-child estrangement NEC
        • Z62.891 Sibling rivalry
        • Z62.892 Runaway [from current living environment]
        • Z62.898 Other specified problems related to upbringing
        • Z62.9 Problem related to upbringing, unspecified
        • Other problems related to primary support group, including family circumstances (Z63)

        • Z63 Other problems related to primary support group, including family circumstances
        • Z63.0 Problems in relationship with spouse or partner
        • Z63.1 Problems in relationship with in-laws
        • Z63.3 Absence of family member
        • Z63.31 Absence of family member due to military deployment
        • Z63.32 Other absence of family member
        • Z63.4 Disappearance and death of family member
        • Z63.5 Disruption of family by separation and divorce
        • Z63.6 Dependent relative needing care at home
        • Z63.7 Other stressful life events affecting family and household
        • Z63.71 Stress on family due to return of family member from military deployment
        • Z63.72 Alcoholism and drug addiction in family
        • Z63.79 Other stressful life events affecting family and household
        • Z63.8 Other specified problems related to primary support group
        • Z63.9 Problem related to primary support group, unspecified
        • Problems related to other psychosocial circumstances (Z65)

        • Z65 Problems related to other psychosocial circumstances
        • Z65.0 Conviction in civil and criminal proceedings without imprisonment
        • Z65.1 Imprisonment and other incarceration
        • Z65.2 Problems related to release from prison
        • Z65.3 Problems related to other legal circumstances
        • Z65.4 Victim of crime and terrorism
        • Z65.5 Exposure to disaster, war and other hostilities
        • Z65.8 Other specified problems related to psychosocial circumstances
        • Z65.9 Problem related to unspecified psychosocial circumstances