Problems related to housing and economic circumstances (Z59)
Z59 codes identify issues related to housing and economic circumstances, including homelessness, inadequate housing, food insecurity, poverty, and social insurance gaps. These codes help specify socio-economic conditions impacting a patient's well-being.
The ICD-10 code for problems such as homelessness includes specific categories for sheltered, unsheltered, and unspecified situations (e.g., Z59.00 covers homeless individuals like vagrants or social migrants). Inadequate housing codes (Z59.1) address problems like poor living conditions, environmental issues, or lack of utilities, with synonyms like "slum housing" and "lack of heat in house." Codes also cover discord with neighbors or landlords (Z59.2), challenges in residential institutions (Z59.3), and food insecurity (Z59.41), which refers to difficulty accessing sufficient nutrition. Economic hardship is coded with terms like extreme poverty (Z59.5), low income (Z59.6), and financial insecurity (Z59.86). Housing instability codes (Z59.81 series) reflect risk factors that could lead to homelessness. Medical coders use these codes to document social determinants affecting patient care and resource allocation precisely.
Factors influencing health status and contact with health services (Z00–Z99)
Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
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 DELETED CODE
- Z59.71 Insufficient health insurance coverage NEW CODE
- Z59.72 Insufficient welfare support NEW CODE
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
- 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 housing and economic circumstances (Z59)
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.
- 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.
Bankruptcy
The state of legal insolvency with assets taken over by judicial process so that they may be distributed among creditors.
Food Insecurity
Limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in safe and socially acceptable ways.
Housing Instability
This encompasses a number of challenges, such as having trouble paying rent, living in overcrowded conditions, moving frequently, living with friends or relatives out of necessity, being unhoused, or spending the bulk of household income (>50%) on housing. (https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-health/interventions-resources/housing-instability)
Single Person
The unmarried man or woman.
