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ICD-10 + Social Determinants of Health





Social determinants include societal and environmental conditions such as food, housing, transportation, education, violence, social support, health behaviors and employment.
Among these “Z” codes are the following series related to potential hazards due to family and social circumstances impacting health status: 

Z55-Z65 – Persons with potential health hazards related to socioeconomic and psychosocial circumstances


Z55 – Problems related to education and literacy
Z56 – Problems related to employment and unemployment
Z57 – Occupational exposure to risk factors
Z59 – Problems related to housing and economic circumstances
Z60 – Problems related to social environment
Z62 – Problems related to upbringing
Z63 – Other problems related to primary support group, including family circumstances
Z64 – Problems related to certain psychosocial circumstances
Z65 – Problems related to other psychosocial circumstances


Based on the ICD-10-CM Official Guidelines for Coding and Reporting, coding professionals are not able to report these codes unless they were supported by physician documentation.

As coders we should be aware of these codes and apply them with the guidance of our employer's directive.

#socialdeterminates #Zcodes


http://www.ahacentraloffice.org/PDFS/2018PDFS/value-initiative-icd-10-code-sdoh-0418.pdf














Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The information presented herein is for general informational purposes only and is accurate as of the date of publication.
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