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v1.0.0
ICD-10 Guide
ICD-10 CodesZ62

Z62

Problems related to upbringing

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

Code Description

ICD-10 Z62 is a billable code used to indicate a diagnosis of problems related to upbringing.

Key Diagnostic Point:

Z62 codes encompass a range of issues related to upbringing that can significantly influence an individual's health status and their interaction with health services. These problems may arise from various social determinants of health, including family dynamics, socioeconomic status, and educational opportunities. For instance, children raised in unstable environments may experience emotional and behavioral issues that necessitate preventive care and screening for mental health conditions. Preventive measures, such as counseling and family therapy, can mitigate the long-term effects of adverse childhood experiences. Screening for developmental delays and mental health issues is crucial in identifying children who may benefit from early intervention. Aftercare services may include ongoing support for families to address the underlying issues contributing to the child's health problems. Accurate documentation of these factors is essential for appropriate coding and reimbursement, as they provide context for the patient's health status and the necessity of care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of social determinants influencing upbringing
  • Need for comprehensive documentation of family and social history
  • Potential overlap with other Z codes related to family issues
  • Variability in clinical presentation and required interventions

Audit Risk Factors

  • Inadequate documentation of social determinants
  • Failure to link Z62 to a primary diagnosis
  • Misuse of Z62 when a specific diagnosis is available
  • Lack of clarity in the patient's family history

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Document family history, social environment, and any preventive measures taken.

Common Clinical Scenarios

Routine checkups where upbringing issues are discussed, screenings for behavioral issues.

Billing Considerations

Consider the impact of socioeconomic factors on health outcomes.

Public Health

Documentation Requirements

Collect data on population-level health trends related to upbringing.

Common Clinical Scenarios

Community health assessments, preventive health campaigns targeting at-risk populations.

Billing Considerations

Focus on tracking health disparities linked to upbringing.

Coding Guidelines

Inclusion Criteria

Use Z62 When
  • Z codes should be used when a patient's health status is influenced by social factors rather than a specific medical condition
  • They can be sequenced as secondary codes to provide additional context
  • Payer requirements may vary, so it's essential to verify coverage for Z code usage

Exclusion Criteria

Do NOT use Z62 When
No specific exclusions found.

Related Codes

Child Codes

34 codes
Z62.0
Inadequate parental supervision and control
Z62.1
Parental overprotection
Z62.2
Upbringing away from parents
Z62.21
Child in welfare custody
Z62.22
Institutional upbringing
Z62.23
Child in custody of non-parental relative
Z62.24
Child in custody of non-relative guardian
Z62.29
Other upbringing away from parents
Z62.3
Hostility towards and scapegoating of child
Z62.6
Inappropriate (excessive) parental pressure
Z62.8
Other specified problems related to upbringing
Z62.81
Personal history of abuse in childhood
Z62.810
Personal history of physical and sexual abuse in childhood
Z62.811
Personal history of psychological abuse in childhood
Z62.812
Personal history of neglect in childhood
Z62.813
Personal history of forced labor or sexual exploitation in childhood
Z62.814
Personal history of child financial abuse
Z62.815
Personal history of intimate partner abuse in childhood
Z62.819
Personal history of unspecified abuse in childhood
Z62.82
Parent-child conflict
Z62.820
Parent-biological child conflict
Z62.821
Parent-adopted child conflict
Z62.822
Parent-foster child conflict
Z62.823
Parent-step child conflict
Z62.83
Non-parental relative or guardian-child conflict
Z62.831
Non-parental relative-child conflict
Z62.832
Non-relative guardian-child conflict
Z62.833
Group home staff-child conflict
Z62.89
Other specified problems related to upbringing
Z62.890
Parent-child estrangement NEC
Z62.891
Sibling rivalry
Z62.892
Runaway [from current living environment]
Z62.898
Other specified problems related to upbringing
Z62.9
Problem related to upbringing, unspecified

Related CPT Codes

96110CPT Code

Developmental screening, with interpretation and report

Clinical Scenario

Used during well-child visits to assess developmental milestones.

Documentation Requirements

Document the child's developmental history and any concerns raised by caregivers.

Specialty Considerations

Primary care providers should be aware of the impact of upbringing on development.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding upbringing-related issues, enabling better tracking of social determinants and their impact on health outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding upbringing-related issues, enabling better tracking of social determinants and their impact on health outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding upbringing-related issues, enabling better tracking of social determinants and their impact on health outcomes.

Resources

Clinical References

  • •
    CDC Social Determinants of Health

Coding & Billing References

  • •
    CDC Social Determinants of Health

Frequently Asked Questions

When should Z62 be used in clinical practice?

Z62 should be used when a patient's health issues are significantly influenced by their upbringing, particularly in preventive and screening contexts. Documenting the social determinants affecting the patient's health is crucial for accurate coding.