Z59.87 Material hardship due to limited financial resources, not elsewhere classified

✓ Billable ICD-10-CM 2026
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The ICD-10-CM code for Material hardship due to limited financial resources, not elsewhere classified is Z59.87 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
Z55-Z65: Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
Category Z59
33 codes (25 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Z59.87:

  • Hardship, material, due to limited financial resources, specified NEC
  • Inadequate, inadequacy › material resources due to limited financial resources, specified NEC
  • Lack of › material resources due to limited financial resources, specified NEC
  • Deprivation › material due to limited financial resources, specified NEC
  • Unable to › obtain › basic › needs due to limited financial resources, specified NEC
  • Unable to › obtain › adequate › clothing due to limited financial resources, specified NEC
  • Unable to › obtain › adequate › childcare due to limited financial resources, specified NEC
Excludes2
Not included here. These conditions are coded elsewhere but may be coded together if applicable.
  • extreme poverty (Z59.5)
  • financial insecurity, not elsewhere classified (Z59.86-)
  • low income (Z59.6)

Inclusion Terms

  • Material deprivation due to limited financial resources
  • Unable to obtain adequate childcare due to limited financial resources
  • Unable to obtain adequate clothing due to limited financial resources
  • Unable to obtain basic needs due to limited financial resources

U.S. Hospital Utilization

  • An estimated 3,035 U.S. inpatient stays in 2023 included Z59.87 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Used with any code in range A00.0-T88.9, Z00-Z99

1) Used with any code in the range of A00.0-T88.9, Z00-Z99 An external cause code may be used with any code in the range of A00.0-T88.9, Z00-Z99, classification that represents a health condition due to an external cause. Though they are most applicable to injuries, they are also valid for use with such things as infections or diseases due to an external source, and other health conditions, such as a heart attack that occurs during strenuous physical activity.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.20.a.1
Additional codes with observation code (fragment)

observation code, but only if they are unrelated to the suspected condition being observed.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.21.c.6

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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