Unsheltered homelessness
ICD-10 Z59.02 is a billable code used to indicate a diagnosis of unsheltered homelessness.
Z59.02 refers to individuals who lack a fixed, regular, and adequate nighttime residence, specifically those living in places not designed for human habitation, such as streets, parks, or abandoned buildings. This condition significantly influences health status due to factors such as limited access to healthcare services, increased exposure to environmental hazards, and higher rates of mental health issues and substance abuse. Preventive care is often neglected, as individuals experiencing unsheltered homelessness may avoid seeking medical attention due to stigma, lack of transportation, or fear of being turned away. Screening for chronic diseases, mental health conditions, and substance use disorders is crucial in this population to mitigate long-term health consequences. Aftercare is also essential, as individuals may require ongoing support and resources to transition into stable housing and improve their overall health outcomes.
Documenting social history, living conditions, and any preventive services offered.
Routine checkups, screenings for chronic diseases, and follow-up care for acute conditions.
Understanding the impact of social determinants on health and addressing barriers to care.
Population-level data collection, health status tracking, and surveillance of health outcomes.
Epidemiological studies, outreach programs, and community health assessments.
Focus on health disparities and the need for targeted interventions.
Used during a preventive visit for a patient experiencing unsheltered homelessness.
Document social history and any barriers to care.
Primary care providers should be aware of the social determinants impacting health.
Z59.02 should be documented with clear descriptions of the patient's living conditions, any health issues related to their homelessness, and the preventive or screening services provided.
