Z60.4

Social exclusion and rejection

Billable / specific

Z60.4 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behavior.
Social isolation

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 coded here — never report together with this code.

target of adverse discrimination such as for racial or religious reasons (Z60.5)

Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behavior.
Social isolation
Deprivation, social
Isolation, isolated, social
Maladjustment, social, due to exclusion and isolation
Maladjustment, social, due to rejection
Problem, social, exclusion and rejection
Social, exclusion
Social, rejection