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ICD-10 Guide
ICD-10 CodesZ62.823

Z62.823

Parent-step child conflict

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

Code Description

ICD-10 Z62.823 is a billable code used to indicate a diagnosis of parent-step child conflict.

Key Diagnostic Point:

Z62.823 refers to conflicts that arise between a parent and a stepchild, which can significantly impact the emotional and psychological well-being of both parties. This conflict may stem from various factors, including differing parenting styles, loyalty issues, and the adjustment to blended family dynamics. Understanding the social determinants of health is crucial, as factors such as socioeconomic status, family structure, and community support can influence the severity and resolution of these conflicts. Preventive care strategies may include family counseling and communication workshops aimed at improving relationships and reducing conflict. Screening for mental health issues, such as anxiety or depression, may also be warranted in cases of prolonged conflict. Aftercare may involve ongoing therapy or support groups to help families navigate their relationships effectively. Proper documentation of these factors is essential for accurate coding and to ensure that the healthcare services provided are appropriately linked to the patient's health status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in family dynamics and individual responses to conflict
  • Need for comprehensive documentation of family interactions
  • Potential overlap with other mental health diagnoses
  • Influence of social determinants on health outcomes

Audit Risk Factors

  • Inadequate documentation of the nature and extent of the conflict
  • Failure to link the Z code to relevant treatment or preventive services
  • Misuse of the code in the absence of documented family conflict
  • Lack of follow-up documentation for ongoing care

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include details of family interactions, any counseling sessions, and referrals made for conflict resolution.

Common Clinical Scenarios

Routine checkups where family dynamics are discussed, screenings for mental health issues related to family conflict.

Billing Considerations

Consideration of social determinants such as economic stressors, educational background, and community resources available to the family.

Public Health

Documentation Requirements

Documentation should focus on population-level data regarding family conflict and its impact on community health.

Common Clinical Scenarios

Epidemiological studies assessing the prevalence of family conflict and its correlation with mental health outcomes.

Billing Considerations

Tracking health status and outcomes in families experiencing conflict to inform public health initiatives.

Coding Guidelines

Inclusion Criteria

Use Z62.823 When
  • Z codes are used to indicate factors influencing health status and should be sequenced appropriately
  • They are not to be used as primary diagnoses but can be used in conjunction with other codes that reflect the patient's health conditions
  • Payer requirements may vary, so it is essential to check specific guidelines

Exclusion Criteria

Do NOT use Z62.823 When
No specific exclusions found.

Related CPT Codes

90847CPT Code

Family psychotherapy, conjoint therapy

Clinical Scenario

Used when providing therapy to a family experiencing conflict, including stepfamilies.

Documentation Requirements

Documentation of family dynamics and the specific issues addressed in therapy.

Specialty Considerations

Primary care providers may refer families for this service to address conflicts.

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 family conflicts.

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 family conflicts.

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 family conflicts.

Resources

Clinical References

  • •
    Preventive Guidelines for Family Therapy

Coding & Billing References

  • •
    Preventive Guidelines for Family Therapy

Frequently Asked Questions

When should Z62.823 be used?

Z62.823 should be used when there is documented conflict between a parent and stepchild that impacts health status or necessitates preventive or therapeutic services.