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v1.0.0
ICD-10 Guide
ICD-10 CodesZ62.23

Z62.23

Child in custody of non-parental relative

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

Code Description

ICD-10 Z62.23 is a billable code used to indicate a diagnosis of child in custody of non-parental relative.

Key Diagnostic Point:

Z62.23 is used to indicate a child who is in the custody of a relative who is not their parent. This situation often arises due to various social determinants of health, including family instability, economic hardship, or parental incapacity. Children in these circumstances may face unique health challenges, including mental health issues, developmental delays, and increased risk of neglect or abuse. Preventive care is crucial for these children, as they may have limited access to healthcare services. Regular screenings for developmental milestones, mental health assessments, and vaccinations are essential to ensure their well-being. Additionally, understanding the social context of these children can help healthcare providers address their needs more effectively, including referrals to social services or community resources. Proper documentation of the child's living situation and any related health concerns is vital for accurate coding and care planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of custody arrangements
  • Potential for overlapping social issues affecting health
  • Need for comprehensive understanding of social determinants
  • Challenges in identifying preventive care needs

Audit Risk Factors

  • Inadequate documentation of custody status
  • Failure to link Z code with relevant health conditions
  • Misuse of Z code as primary diagnosis without supporting evidence
  • Lack of preventive care documentation

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include details of the child's custody situation, any health issues, and preventive care measures taken.

Common Clinical Scenarios

Routine checkups, developmental screenings, and mental health assessments.

Billing Considerations

Consideration of social determinants such as housing stability, economic status, and access to healthcare.

Public Health

Documentation Requirements

Documentation should focus on population health data, including prevalence of children in non-parental custody and associated health outcomes.

Common Clinical Scenarios

Epidemiological studies, community health assessments, and preventive health initiatives.

Billing Considerations

Tracking health disparities and access to services for children in non-parental custody.

Coding Guidelines

Inclusion Criteria

Use Z62.23 When
  • Z codes should be used when the reason for the encounter is not a current illness or injury but rather a social circumstance affecting health
  • 23 should be sequenced appropriately, often as a secondary diagnosis, to provide context for the primary health issue being addressed
  • Payer requirements may vary, so it is essential to verify coverage policies

Exclusion Criteria

Do NOT use Z62.23 When
No specific exclusions found.

Related CPT Codes

99381CPT Code

Preventive medicine, new patient, under 1 year

Clinical Scenario

Used during a routine checkup for a child in custody of a non-parental relative.

Documentation Requirements

Documentation of custody status and preventive care measures taken.

Specialty Considerations

Primary care providers should be aware of the child's living situation to tailor care appropriately.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of social determinants of health, including custody situations, which can improve care planning and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of social determinants of health, including custody situations, which can improve care planning and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of social determinants of health, including custody situations, which can improve care planning and resource allocation.

Resources

Clinical References

  • •
    CDC Guidelines for Preventive Health Care in Children

Coding & Billing References

  • •
    CDC Guidelines for Preventive Health Care in Children

Frequently Asked Questions

When should Z62.23 be used?

Z62.23 should be used when documenting a child's custody situation that is not with their parents, particularly when this status impacts their health care needs and preventive services.