Social exclusion and rejection
ICD-10 Z60.4 is a billable code used to indicate a diagnosis of social exclusion and rejection.
Z60.4 refers to social exclusion and rejection, which encompasses the experiences of individuals who face barriers to social participation and acceptance. This can stem from various factors such as socioeconomic status, race, ethnicity, disability, or mental health issues. These social determinants significantly influence health outcomes, as individuals who experience social exclusion may have limited access to healthcare services, preventive care, and support systems. Preventive measures may include community outreach programs aimed at improving social integration and mental health screenings to identify those at risk of social isolation. Screening for social determinants of health during routine visits can help healthcare providers address these issues early. Aftercare may involve connecting patients with community resources to enhance their social support networks, thereby improving their overall health status and engagement with health services.
Document social history, screening results, and any referrals made to address social exclusion.
Routine checkups where social determinants are assessed, screenings for mental health issues, and aftercare follow-ups.
Consider the impact of social factors on patient compliance and health outcomes.
Collect data on social exclusion for population health assessments and program planning.
Epidemiological studies focusing on social determinants and preventive health initiatives.
Emphasize the importance of community engagement and resource allocation.
Used during visits where social exclusion is discussed and addressed.
Document the counseling provided and the social factors discussed.
Primary care providers should focus on integrating social assessments into routine care.
Z60.4 should be used when social exclusion is identified as a significant factor affecting a patient's health status, particularly during preventive visits or when addressing mental health concerns.
