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ICD-10 Guide
ICD-10 CodesZ62.812

Z62.812

Personal history of neglect in childhood

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

Code Description

ICD-10 Z62.812 is a billable code used to indicate a diagnosis of personal history of neglect in childhood.

Key Diagnostic Point:

Z62.812 refers to a personal history of neglect experienced during childhood, which can significantly influence an individual's health status and interaction with healthcare services throughout their life. This neglect may manifest as emotional, physical, or educational deprivation, leading to long-term psychological and social consequences. Individuals with this history may face challenges such as increased risk for mental health disorders, substance abuse, and difficulties in forming healthy relationships. Preventive care for these individuals often includes mental health screenings, counseling, and social support services aimed at addressing the effects of childhood neglect. Understanding the social determinants of health, such as socioeconomic status, family dynamics, and community resources, is crucial in providing comprehensive care and support. Screening for adverse childhood experiences (ACEs) is essential in identifying individuals at risk and facilitating early intervention strategies to mitigate long-term health impacts.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires thorough documentation of personal history and context of neglect.
  • Potential overlap with other mental health diagnoses complicates coding.
  • Need for comprehensive understanding of social determinants affecting health.
  • Variability in how neglect is reported and perceived by different providers.

Audit Risk Factors

  • Inadequate documentation of the history of neglect.
  • Failure to link the Z code to relevant clinical conditions or treatments.
  • Misuse of the code in absence of a documented history of neglect.
  • Inconsistent application of the code across different providers.

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include a detailed history of neglect, any associated mental health conditions, and preventive care measures taken.

Common Clinical Scenarios

Routine checkups where the patient discusses past experiences of neglect, screenings for mental health issues, and aftercare for related conditions.

Billing Considerations

Consideration of social determinants such as family support, economic stability, and access to mental health resources.

Public Health

Documentation Requirements

Documentation should focus on population-level data regarding childhood neglect and its impact on community health.

Common Clinical Scenarios

Epidemiological studies assessing the prevalence of neglect and its long-term health outcomes, preventive health initiatives targeting at-risk populations.

Billing Considerations

Importance of tracking health status and outcomes related to childhood neglect in public health reporting.

Coding Guidelines

Inclusion Criteria

Use Z62.812 When
  • Z codes are used to indicate a patient's history that may influence their health status
  • When coding Z62
  • 812, it should be sequenced appropriately based on the primary diagnosis
  • Payer requirements may vary, so it is essential to check specific guidelines for coverage of preventive services related to this history

Exclusion Criteria

Do NOT use Z62.812 When
No specific exclusions found.

Related CPT Codes

96127CPT Code

Brief emotional/behavioral assessment

Clinical Scenario

Used during mental health screenings where Z62.812 is applicable.

Documentation Requirements

Document the assessment results and any referrals made.

Specialty Considerations

Primary care providers should be aware of the implications of childhood neglect on mental health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding personal histories, including neglect. This specificity helps in understanding the long-term health impacts of childhood experiences and facilitates targeted preventive care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding personal histories, including neglect. This specificity helps in understanding the long-term health impacts of childhood experiences and facilitates targeted preventive care.

Reimbursement & Billing Impact

impact of neglect on their current health status, and any preventive or therapeutic measures taken.

Resources

Clinical References

  • •
    Preventive Guidelines for Childhood Trauma

Coding & Billing References

  • •
    Preventive Guidelines for Childhood Trauma

Frequently Asked Questions

When should Z62.812 be used?

Z62.812 should be used when a patient has a documented history of neglect in childhood that may impact their current health status. It is important to link this code to relevant mental health conditions or preventive services.