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v1.0.0
ICD-10 Guide
ICD-10 CodesZ62.822

Z62.822

Parent-foster child conflict

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

Code Description

ICD-10 Z62.822 is a billable code used to indicate a diagnosis of parent-foster child conflict.

Key Diagnostic Point:

Z62.822 refers to conflicts between a parent and a foster child, which can significantly impact the child's health status and their interaction with health services. This conflict may arise from various factors, including differing expectations, communication barriers, and emotional distress. Understanding the social determinants of health, such as family dynamics, socioeconomic status, and access to mental health resources, is crucial for effective preventive care and screening. Preventive measures may include family counseling and conflict resolution strategies, while screening can involve assessing the child's emotional well-being and behavioral issues. Aftercare may focus on ongoing support for both the child and the foster parent to foster a healthier relationship and improve overall family functioning. Proper documentation of these factors is essential for accurate coding and to ensure that the health services provided are aligned with the needs of the child and family.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in family dynamics and individual circumstances
  • Need for comprehensive documentation of social determinants
  • Potential overlap with other Z codes related to family issues
  • Requirement for detailed clinical context to justify coding

Audit Risk Factors

  • Inadequate documentation of the nature of the conflict
  • Failure to link the Z code to relevant clinical encounters
  • Misuse of the code when the conflict is not the primary issue
  • Lack of evidence for preventive or aftercare services provided

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include details of the conflict, its impact on health, and any preventive measures taken.

Common Clinical Scenarios

Routine checkups where the child exhibits behavioral issues linked to family conflict.

Billing Considerations

Consideration of social determinants such as housing stability and access to mental health services.

Public Health

Documentation Requirements

Documentation should focus on population-level impacts of family conflict on child health outcomes.

Common Clinical Scenarios

Community health assessments identifying trends in foster care placements and associated health issues.

Billing Considerations

Tracking health disparities related to family dynamics in foster care settings.

Coding Guidelines

Inclusion Criteria

Use Z62.822 When
  • Z codes should be used when the primary reason for the encounter is related to social determinants rather than a specific medical condition
  • Proper sequencing is essential, with Z62
  • 822 typically coded as a secondary diagnosis to provide context for the primary diagnosis
  • Payer requirements may vary, so it is crucial to verify specific guidelines

Exclusion Criteria

Do NOT use Z62.822 When
No specific exclusions found.

Related CPT Codes

96150CPT Code

Health and behavior assessment

Clinical Scenario

Used when assessing the impact of family conflict on a child's health.

Documentation Requirements

Documentation of the assessment process and findings related to family dynamics.

Specialty Considerations

Primary care providers should ensure comprehensive evaluations that include social determinants.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding family dynamics, enabling better tracking of social determinants of health and their impact on child well-being.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding family dynamics, enabling better tracking of social determinants of health and their impact on child well-being.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding family dynamics, enabling better tracking of social determinants of health and their impact on child well-being.

Resources

Clinical References

  • •
    Preventive Guidelines for Child Health

Coding & Billing References

  • •
    Preventive Guidelines for Child Health

Frequently Asked Questions

When should Z62.822 be used?

Z62.822 should be used when the primary reason for the encounter involves conflicts between a parent and a foster child, impacting the child's health status and requiring preventive or aftercare services.