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ICD-10 Guide
ICD-10 CodesZ62.890

Z62.890

Parent-child estrangement NEC

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

Code Description

ICD-10 Z62.890 is a billable code used to indicate a diagnosis of parent-child estrangement nec.

Key Diagnostic Point:

Z62.890 refers to parent-child estrangement not elsewhere classified (NEC), which encompasses situations where there is a significant breakdown in the relationship between a parent and child that is not due to a specific medical condition. This estrangement can influence health status by contributing to mental health issues such as depression, anxiety, and stress-related disorders. It may also affect the child's access to healthcare services, as estranged relationships can lead to reduced communication about health needs and preventive care. Social determinants of health, such as family dynamics, socioeconomic status, and community support systems, play a crucial role in these situations. Preventive care may involve counseling or therapy aimed at improving family relationships, while screening for mental health issues is essential for both parties involved. Aftercare may include ongoing support services to help mend the relationship or cope with the emotional fallout of estrangement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes for estrangement (e.g., mental health issues, abuse, neglect)
  • Need for comprehensive documentation to support the diagnosis
  • Potential overlap with other Z codes related to family dynamics
  • Variability in clinical presentation and patient history

Audit Risk Factors

  • Inadequate documentation of the estrangement's impact on health status
  • Failure to link the Z code with appropriate primary diagnoses
  • Misuse of the code for unrelated family issues
  • Lack of evidence for preventive or therapeutic interventions

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Document the nature of the estrangement, its impact on health, and any preventive measures taken.

Common Clinical Scenarios

Routine checkups where family dynamics are discussed, mental health screenings, and aftercare for therapy.

Billing Considerations

Consider social determinants such as economic stability and community resources that may affect the family.

Public Health

Documentation Requirements

Collect data on the prevalence of estrangement in the population and its health impacts.

Common Clinical Scenarios

Epidemiological studies assessing the effects of family estrangement on community health.

Billing Considerations

Focus on tracking health outcomes related to family dynamics and community support systems.

Coding Guidelines

Inclusion Criteria

Use Z62.890 When
  • Z codes are used to indicate factors influencing health status and should be sequenced appropriately
  • When coding Z62
  • 890, it should be used in conjunction with a primary diagnosis that reflects the patient's health condition
  • Payer requirements may vary, so it's essential to verify coverage for preventive services related to family estrangement

Exclusion Criteria

Do NOT use Z62.890 When
No specific exclusions found.

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used during therapy sessions addressing issues of estrangement.

Documentation Requirements

Document the focus of therapy on family dynamics and estrangement.

Specialty Considerations

Primary care providers should be aware of the mental health implications of estrangement.

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 health outcomes related to estrangement.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

Resources

Clinical References

  • •
    Preventive Care Guidelines
  • •
    Public Health Resources on Family Dynamics

Coding & Billing References

  • •
    Preventive Care Guidelines
  • •
    Public Health Resources on Family Dynamics

Frequently Asked Questions

When should Z62.890 be used?

Z62.890 should be used when there is a significant estrangement between a parent and child that impacts health status, and it should be documented thoroughly to support its use.