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ICD-10 Guide
ICD-10 CodesZ62.83

Z62.83

Non-parental relative or guardian-child conflict

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

Code Description

ICD-10 Z62.83 is a billable code used to indicate a diagnosis of non-parental relative or guardian-child conflict.

Key Diagnostic Point:

Z62.83 is used to classify conflicts between a child and their non-parental relative or guardian, which can significantly impact the child's health and well-being. Such conflicts may arise from differing values, expectations, or communication styles, leading to stress, anxiety, or behavioral issues in the child. Understanding the social determinants of health is crucial, as factors like family dynamics, socioeconomic status, and community support systems can influence the nature and resolution of these conflicts. Preventive care strategies may include family counseling, conflict resolution training, and educational programs aimed at improving communication skills. Screening for mental health issues in children involved in these conflicts is essential to identify any underlying problems early. Aftercare may involve ongoing support and resources for both the child and the guardian to foster a healthier relationship and mitigate any adverse health outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Varied nature of conflicts requiring detailed documentation
  • Potential overlap with other mental health diagnoses
  • Need for comprehensive understanding of family dynamics
  • Documentation of social determinants impacting the conflict

Audit Risk Factors

  • Inadequate documentation of the nature of the conflict
  • Failure to link the conflict to health outcomes
  • Misuse of the code without proper clinical context
  • 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 the child's health, and any preventive measures taken.

Common Clinical Scenarios

Routine checkups where family dynamics are discussed, screenings for anxiety or behavioral issues, and aftercare follow-ups.

Billing Considerations

Consideration of social determinants such as economic stability, education, and community context.

Public Health

Documentation Requirements

Documentation should focus on population-level impacts of family conflicts and strategies for community interventions.

Common Clinical Scenarios

Epidemiological studies assessing the prevalence of family conflict and its health implications.

Billing Considerations

Tracking health outcomes related to family dynamics in community health assessments.

Coding Guidelines

Inclusion Criteria

Use Z62.83 When
  • Z codes should be used when the primary reason for the visit is related to the social determinants of health rather than a specific medical diagnosis
  • Proper sequencing is essential, especially when co
  • existing conditions are present
  • Payer requirements may vary, so it is important to verify coverage for preventive and aftercare services linked to this code

Exclusion Criteria

Do NOT use Z62.83 When
No specific exclusions found.

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used in conjunction with Z62.83 when counseling is provided to address stressors related to family conflict.

Documentation Requirements

Documentation of the counseling session and its relevance to the child's health.

Specialty Considerations

Primary care providers should consider the impact of family dynamics on smoking behaviors.

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

reimbursement.

Resources

Clinical References

  • •
    Preventive Care Guidelines for Children

Coding & Billing References

  • •
    Preventive Care Guidelines for Children

Frequently Asked Questions

When should Z62.83 be used?

Z62.83 should be used when a child's health visit is primarily related to conflicts with non-parental relatives or guardians, impacting their emotional or physical health. Documentation should clearly outline the nature of the conflict and any preventive measures taken.