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v1.0.0
ICD-10 Guide
ICD-10 CodesZ59.2

Z59.2

Discord with neighbors, lodgers and landlord

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z59.2 is a billable code used to indicate a diagnosis of discord with neighbors, lodgers and landlord.

Key Diagnostic Point:

Z59.2 captures the social determinant of health related to discord with neighbors, lodgers, and landlords, which can significantly impact an individual's mental and physical health. This discord may manifest as disputes over property boundaries, noise complaints, or issues related to rental agreements. Such conflicts can lead to increased stress, anxiety, and even depression, which may necessitate contact with health services for mental health support or stress management. Preventive care strategies may include community mediation services or counseling to address interpersonal conflicts. Screening for mental health issues may be warranted in patients reporting such discord, as unresolved conflicts can exacerbate existing health conditions or lead to new health issues. Aftercare may involve follow-up visits to monitor mental health status and the effectiveness of interventions aimed at resolving the discord. Proper documentation of the social context and its impact on health is crucial for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires thorough documentation of social circumstances
  • Potential overlap with mental health diagnoses
  • Need for clear linkage to health status impact
  • Variability in interpretation of 'discord' across settings

Audit Risk Factors

  • Insufficient documentation of the nature of discord
  • Failure to link discord to health service utilization
  • Inconsistent coding practices across providers
  • Misinterpretation of the code's intent

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Document the patient's reported experiences with neighbors or landlords, including any mental health impacts.

Common Clinical Scenarios

Routine checkups where patients express stress related to housing issues.

Billing Considerations

Consider the role of social determinants in overall health and the need for referrals to social services.

Public Health

Documentation Requirements

Collect data on community health impacts related to housing disputes for epidemiological studies.

Common Clinical Scenarios

Community health assessments identifying areas with high levels of housing discord.

Billing Considerations

Focus on population-level health outcomes and interventions.

Coding Guidelines

Inclusion Criteria

Use Z59.2 When
  • Z codes are used to describe factors influencing health status and should be sequenced appropriately
  • When Z59
  • 2 is the primary reason for the visit, it should be coded first, followed by any relevant diagnoses
  • Payer requirements may vary, so it's essential to check specific guidelines

Exclusion Criteria

Do NOT use Z59.2 When
No specific exclusions found.

Related CPT Codes

99401CPT Code

Preventive counseling visit

Clinical Scenario

Used when addressing social determinants during a preventive visit.

Documentation Requirements

Document the nature of the counseling and its relation to social issues.

Specialty Considerations

Primary care providers should focus on the impact of social factors on health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding social determinants, enabling better tracking of how discord affects health outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding social determinants, enabling better tracking of how discord affects health outcomes.

Reimbursement & Billing Impact

impact on health, including any preventive or screening services provided.

Resources

Clinical References

  • •
    CDC Social Determinants of Health

Coding & Billing References

  • •
    CDC Social Determinants of Health

Frequently Asked Questions

When should Z59.2 be used?

Z59.2 should be used when discord with neighbors, lodgers, or landlords is impacting the patient's health status, particularly in mental health contexts.