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ICD-10 Guide
ICD-10 CodesZ62.24

Z62.24

Child in custody of non-relative guardian

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

Code Description

ICD-10 Z62.24 is a billable code used to indicate a diagnosis of child in custody of non-relative guardian.

Key Diagnostic Point:

Z62.24 is used to indicate a child who is in the custody of a non-relative guardian, which can significantly influence their health status and access to health services. Children in such situations may face unique social determinants of health, including instability in living conditions, potential trauma from family separation, and varying levels of support from guardians. Preventive care is crucial for these children, as they may be at higher risk for mental health issues, developmental delays, and other health concerns due to their circumstances. Regular screenings and aftercare are essential to monitor their health and well-being, ensuring they receive appropriate vaccinations, developmental assessments, and mental health support. Documentation should reflect the child's living situation, any health disparities they may face, and the guardians' ability to provide care, which can impact their health outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in guardianship arrangements and their implications for health care access.
  • Need for comprehensive documentation of social determinants affecting the child's health.
  • Potential for co-occurring mental health conditions requiring additional coding.
  • Variability in preventive care needs based on the child's age and health history.

Audit Risk Factors

  • Inadequate documentation of the child's living situation and health status.
  • Failure to link preventive care services to the Z code appropriately.
  • Misuse of the code in cases where the child is not in custody of a non-relative.
  • Lack of clarity in the guardian's role and responsibilities in the child's health care.

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Document the child's health history, guardianship details, and any preventive care received.

Common Clinical Scenarios

Routine checkups, immunizations, and developmental screenings.

Billing Considerations

Consider the impact of social determinants such as housing stability and access to resources.

Public Health

Documentation Requirements

Collect data on population health trends related to children in non-relative custody.

Common Clinical Scenarios

Epidemiological studies and community health assessments.

Billing Considerations

Focus on tracking health disparities and outcomes in this vulnerable population.

Coding Guidelines

Inclusion Criteria

Use Z62.24 When
  • Z codes should be used when the reason for the encounter is not a disease or injury but rather a social circumstance
  • Proper sequencing is essential, especially when coding for preventive services or co
  • occurring conditions
  • Payer requirements may vary, so it's crucial to verify coverage for preventive services linked to Z codes

Exclusion Criteria

Do NOT use Z62.24 When
No specific exclusions found.

Related CPT Codes

99381CPT Code

Preventive medicine, new patient, age 0-1

Clinical Scenario

Used for a well-child visit for a child in non-relative custody.

Documentation Requirements

Document the child's health history, guardianship details, and any preventive care received.

Specialty Considerations

Primary care providers should be aware of the child's unique circumstances.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding social determinants of health, such as custody arrangements, which can impact health outcomes and access to care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding social determinants of health, such as custody arrangements, which can impact health outcomes and access to care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding social determinants of health, such as custody arrangements, which can impact health outcomes and access to care.

Resources

Clinical References

  • •
    Preventive Services for Children

Coding & Billing References

  • •
    Preventive Services for Children

Frequently Asked Questions

What documentation is required for Z62.24?

Documentation should include details about the child's living situation, the guardian's relationship to the child, and any health services received. It's important to note any social determinants that may affect the child's health.