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v1.0.0
ICD-10 Guide
ICD-10 CodesZ63.4

Z63.4

Disappearance and death of family member

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

Code Description

ICD-10 Z63.4 is a billable code used to indicate a diagnosis of disappearance and death of family member.

Key Diagnostic Point:

Z63.4 is used to indicate the impact of the disappearance or death of a family member on an individual's health status. This code captures the psychosocial stressors that can arise from such events, which may lead to mental health issues, increased healthcare utilization, and a need for preventive care and screening. The loss of a family member can significantly affect an individual's emotional well-being, leading to conditions such as depression or anxiety. Social determinants of health, including support systems, socioeconomic status, and access to healthcare, play a crucial role in how individuals cope with such losses. Preventive care may include mental health screenings and counseling services, while aftercare may involve ongoing support and follow-up for mental health conditions that arise from grief. Proper documentation of the circumstances surrounding the loss, the individual's emotional response, and any subsequent healthcare needs is essential for accurate coding and care planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for thorough documentation of the circumstances surrounding the loss.
  • Variability in individual responses to grief and loss.
  • Potential overlap with mental health diagnoses requiring careful differentiation.
  • Influence of social determinants of health on the individual's coping mechanisms.

Audit Risk Factors

  • Inadequate documentation of the family member's disappearance or death.
  • Failure to link the Z code to relevant mental health diagnoses.
  • Lack of evidence for the impact of the loss on health status.
  • Improper sequencing of Z codes with primary diagnoses.

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include details of the family member's disappearance or death, the patient's emotional response, and any referrals to mental health services.

Common Clinical Scenarios

Routine checkups where the patient discusses grief, screenings for depression or anxiety, and aftercare follow-ups for mental health support.

Billing Considerations

Consideration of social support systems and the patient's coping strategies.

Public Health

Documentation Requirements

Documentation should focus on population-level impacts of family loss, including mental health trends and community support resources.

Common Clinical Scenarios

Epidemiological studies on the effects of family loss on community health, preventive health initiatives targeting grief support.

Billing Considerations

Tracking health outcomes related to family loss and developing community resources.

Coding Guidelines

Inclusion Criteria

Use Z63.4 When
  • Z codes are used to indicate factors influencing health status and should be sequenced appropriately
  • When Z63
  • 4 is used, it should be linked to any relevant primary diagnosis, particularly mental health conditions
  • Payer requirements may vary, so it's essential to check specific guidelines for coverage

Exclusion Criteria

Do NOT use Z63.4 When
No specific exclusions found.

Related CPT Codes

96127CPT Code

Brief emotional/behavioral assessment

Clinical Scenario

Used during a visit where the patient discusses grief and loss, necessitating a mental health assessment.

Documentation Requirements

Document the assessment results and any referrals made.

Specialty Considerations

Primary care providers should be aware of mental health resources available for referrals.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding psychosocial factors, making it easier to capture the nuances of a patient's experience following the loss of a family member.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding psychosocial factors, making it easier to capture the nuances of a patient's experience following the loss of a family member.

Reimbursement & Billing Impact

impact of the loss, and any preventive or aftercare services provided.

Resources

Clinical References

  • •
    CDC Grief and Loss Resources

Coding & Billing References

  • •
    CDC Grief and Loss Resources

Frequently Asked Questions

When should Z63.4 be used?

Z63.4 should be used when a patient presents with health issues related to the disappearance or death of a family member, particularly when these issues impact their mental health and require preventive care or aftercare.