ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 21: Factors influencing health statusZ62

Z62

Billable

Problems related to upbringing

Chapter 21:Factors influencing health status

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 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.