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v1.0.0
ICD-10 Guide
ICD-10 CodesZ62.820

Z62.820

Parent-biological child conflict

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

Code Description

ICD-10 Z62.820 is a billable code used to indicate a diagnosis of parent-biological child conflict.

Key Diagnostic Point:

Z62.820 refers to conflicts between a parent and their biological child, which can significantly impact both mental and physical health. This conflict may arise from various factors, including differing values, communication issues, or behavioral problems. Such conflicts can lead to increased stress levels, anxiety, and depression in both parties, potentially resulting in the need for mental health services. Social determinants of health, such as socioeconomic status, education, and community support, play a crucial role in these dynamics. Preventive care strategies may include family counseling and conflict resolution programs, while screening for mental health issues is essential in these scenarios. Aftercare may involve ongoing therapy or support groups to help families navigate their challenges and improve their relationships. Proper documentation of the context and impact of the conflict is vital for accurate coding and effective treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Subjectivity of conflict assessment
  • Variability in family dynamics
  • Need for comprehensive documentation
  • Potential overlap with mental health diagnoses

Audit Risk Factors

  • Inadequate documentation of the conflict's impact
  • Failure to link to appropriate preventive or therapeutic services
  • Misuse of Z codes as primary diagnoses without supporting evidence
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Document the nature of the conflict, its impact on health, and any referrals made for counseling or therapy.

Common Clinical Scenarios

Routine checkups where family dynamics are discussed, screenings for mental health issues, and aftercare follow-ups.

Billing Considerations

Consider social determinants such as family income, education level, and community resources that may affect the conflict.

Public Health

Documentation Requirements

Collect data on family conflict prevalence and its effects on community health outcomes.

Common Clinical Scenarios

Epidemiological studies assessing the impact of family dynamics on public health metrics.

Billing Considerations

Focus on tracking health status and outcomes related to family conflict in population health initiatives.

Coding Guidelines

Inclusion Criteria

Use Z62.820 When
  • Z codes are used to describe factors influencing health status and contact with health services
  • They should be sequenced appropriately, often as secondary diagnoses, and must be supported by documentation that outlines the nature of the conflict and its health implications
  • Payer requirements may vary, so it's essential to verify coverage for services related to family conflict

Exclusion Criteria

Do NOT use Z62.820 When
No specific exclusions found.

Related CPT Codes

90847CPT Code

Family psychotherapy, conjoint therapy

Clinical Scenario

Used when family therapy is provided to address conflicts.

Documentation Requirements

Document the nature of the conflict and the goals of therapy.

Specialty Considerations

Primary care providers may refer families for specialized therapy.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding family conflicts, enabling better tracking of health outcomes related to social determinants of health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding family conflicts, enabling better tracking of health outcomes related to social determinants of health.

Reimbursement & Billing Impact

impact on health, the services provided, and any referrals made for further care.

Resources

Clinical References

  • •
    Preventive Guidelines for Family Therapy

Coding & Billing References

  • •
    Preventive Guidelines for Family Therapy

Frequently Asked Questions

When should Z62.820 be used?

Z62.820 should be used when there is a documented conflict between a parent and biological child that impacts health status, necessitating preventive care or therapeutic services.