Z63.8

Other specified problems related to primary support group

Billable / specificPOA exempt

Z63.8 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • Family discord NOS
  • Family estrangement NOS
  • High expressed emotional level within family
  • Inadequate family support NOS
  • Inadequate or distorted communication within family

Includes (from Z63)

  • 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.

Excludes2

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

  • maltreatment syndrome (T74.-, T76) (from Z63)
  • parent-child problems (Z62.-) (from Z63)
  • problems related to negative life events in childhood (Z62.-) (from Z63)
  • problems related to upbringing (Z62.-) (from Z63)

Also known as

  • Family discord NOS
  • Family estrangement NOS
  • High expressed emotional level within family
  • Inadequate family support NOS
  • Inadequate or distorted communication within family
  • Conflict, family
  • Discord, family
  • Disruption, family
  • Distortion, intrafamilial communications
  • Family, familial, disruption
  • Family, familial, problem, specified NEC
  • High, expressed emotional level within family
  • Inadequate, inadequacy, family support
  • Inadequate, inadequacy, intrafamilial communication
  • Problem, conflict or discord, family, specified NEC
  • Problem, family, specified NEC
  • Problem, intrafamilial communication
  • Problem, primary support group, specified NEC

Parent code

  • Z63Other problems related to primary support group, including family circumstancesHeader

Related codes

  • Z63.0Problems in relationship with spouse or partnerBillable
  • Z63.1Problems in relationship with in-lawsBillable
  • Z63.3Absence of family memberHeader
  • Z63.4Disappearance and death of family memberBillable
  • Z63.5Disruption of family by separation and divorceBillable
  • Z63.6Dependent relative needing care at homeBillable
  • Z63.7Other stressful life events affecting family and householdHeader
  • Z63.9Problem related to primary support group, unspecifiedBillable

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