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v1.0.0
ICD-10 Guide
ICD-10 CodesZ62.832

Z62.832

Non-relative guardian-child conflict

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

Code Description

ICD-10 Z62.832 is a billable code used to indicate a diagnosis of non-relative guardian-child conflict.

Key Diagnostic Point:

Z62.832 refers to conflicts arising between a child and their non-relative guardian, which can significantly impact the child's mental and emotional health. This conflict may stem from various factors, including differing values, expectations, and communication styles. The child's health status can be influenced by the stress and anxiety associated with these conflicts, potentially leading to behavioral issues, academic challenges, and social withdrawal. Preventive care strategies may include counseling and mediation to address the underlying issues, while screening for mental health conditions is crucial to ensure the child receives appropriate support. Aftercare may involve ongoing therapy or support groups to help the child navigate their feelings and improve their relationship with the guardian. Understanding the social determinants of health, such as family dynamics and community resources, is essential for effective intervention and support.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of guardian-child relationships
  • Need for comprehensive psychosocial assessments
  • Potential overlap with other mental health codes
  • Subjectivity in defining conflict severity

Audit Risk Factors

  • Inadequate documentation of the nature of the conflict
  • Failure to link the Z code to a primary diagnosis
  • Lack of evidence for preventive or aftercare services provided
  • Misclassification of the guardian's role

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include details of the guardian-child relationship, specific conflicts, and any interventions or referrals made.

Common Clinical Scenarios

Routine checkups where the child expresses concerns about their guardian, screenings for anxiety or depression related to the conflict.

Billing Considerations

Consideration of social determinants such as the child's living situation, community support, and access to mental health resources.

Public Health

Documentation Requirements

Documentation should focus on population-level impacts of guardian-child conflicts, including prevalence and community resources available.

Common Clinical Scenarios

Epidemiological studies assessing the impact of guardian-child conflicts on community health outcomes.

Billing Considerations

Tracking health status and access to services for children in non-relative guardianship situations.

Coding Guidelines

Inclusion Criteria

Use Z62.832 When
  • Z codes are used to indicate factors influencing health status and should be sequenced after the primary diagnosis
  • Payer requirements may vary, so it is essential to check specific guidelines for coverage of preventive and aftercare services

Exclusion Criteria

Do NOT use Z62.832 When
No specific exclusions found.

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used when a child is receiving therapy to address issues related to guardian conflict.

Documentation Requirements

Document the nature of the conflict and therapeutic goals.

Specialty Considerations

Primary care providers may refer to mental health specialists for therapy.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding conflicts involving non-relative guardians, improving the ability to track and address these issues in healthcare settings.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding conflicts involving non-relative guardians, improving the ability to track and address these issues in healthcare settings.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding conflicts involving non-relative guardians, improving the ability to track and address these issues in healthcare settings.

Resources

Clinical References

  • •
    Preventive Guidelines for Child Mental Health

Coding & Billing References

  • •
    Preventive Guidelines for Child Mental Health

Frequently Asked Questions

When should Z62.832 be used?

Z62.832 should be used when there is a documented conflict between a child and their non-relative guardian that impacts the child's health status, particularly in the context of preventive care, screening, or aftercare services.