Z65 Problems related to other psychosocial circumstances

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Problems related to other psychosocial circumstances is Z65 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
Z55-Z65: Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
Category Z65
9 codes (8 billable)
FY2026 Status
Stable since FY2024

Official Coding Guidelines

SDOH codes may be based on non-provider clinician documentation

For social determinants of health classified to chapter 21, such as information found in categories Z55-Z65, Persons with potential health hazards related to socioeconomic and psychosocial circumstances, code assignment may be based on medical record documentation from clinicians involved in the care of the patient who are not the patient’s provider since this information represents social information, rather than medical diagnoses. For example, coding professionals may utilize documentation of social information from social workers, community health workers, case managers, or nurses, if their documentation is included in the official medical record.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.B.21
SDOH Z-code categories list (Z55-Z65)

Social determinants of health codes are located primarily in these Z code categories: Z55 Problems related to education and literacy Z56 Problems related to employment and unemployment Z57 Occupational exposure to risk factors Z58 Problems related to physical environment Z59 Problems related to housing and economic circumstances Z60 Problems related to social environment Z62 Problems related to upbringing Z63 Other problems related to primary support group, including family circumstances Z64 Problems related to certain psychosocial circumstances Z65 Problems related to other psychosocial circumstances

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

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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