Problems related to upbringing (Z62)

The ICD-10 code section Z62 covers a range of problems related to upbringing, addressing issues in the caregiving environment that affect a child's development and well-being. These include challenges such as inadequate parental supervision (Z62.0), parental overprotection (Z62.1), and various forms of abuse or neglect documented under personal history codes like Z62.810 for physical and sexual abuse.

This section is used to code social and psychosocial problems tied to family and caregiving dynamics, such as children living away from parents; whether in welfare custody (Z62.21), with non-parental relatives (Z62.23), or in institutionalized settings (Z62.22). It also captures conflicts like parent-child disagreements (Z62.82) or sibling rivalry (Z62.891). For example, “inadequate parental supervision and control,” sometimes called “parent-child problems,” corresponds to Z62.0. Codes for personal abuse histories help identify the impact of adverse childhood experiences like physical, sexual, psychological abuse, or neglect. Medical coders use these specific codes for recording and tracking issues stemming from upbringing, enabling accurate clinical documentation and communication regarding a patient's social background and its influence on health outcomes.

Instructional Notations

Includes

This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

  • current and past negative life events in childhood
  • current and past problems of a child related to upbringing

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
  • problems related to housing and economic circumstances Z59