Z59.861

Financial insecurity, difficulty paying for utilities

Billable / specificPOA exempt

Z59.861 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
Note: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
Note: (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Not included here — may be reported together when both conditions exist.

inadequate housing utilities (Z59.12)
extreme poverty (Z59.5) (from Z59.86)
low income (Z59.6) (from Z59.86)
material hardship, not elsewhere classified (Z59.87) (from Z59.86)
problems related to upbringing (Z62.-) (from Z59)

Difficulty paying for electricity
Difficulty paying for heat
Difficulty paying for oil
Difficulty paying water bill
Utility disconnect notice due to inability to pay
Financial problem affecting care NOS, insecurity, paying for utilities
Inability to, pay for utilities
Unable to, obtain, adequate, utilities due to limited financial resources, specified NEC