ICD-10 · PDGM grouping
Z59 Problems related to housing and economic circumstances
All 25 codes in the Z59 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
25
Can lead a claim
0
Cannot lead a claim
25
What CMS assigns to Z59
None of the 25 codes is assigned a clinical group. None of the 25 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z59
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| Z59.0 Homelessness | ||||
| Z59.00 | Homelessness unspecified | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.01 | Sheltered homelessness | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.02 | Unsheltered homelessness | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.1 Inadequate housing | ||||
| Z59.10 | Inadequate housing, unspecified | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.11 | Inadequate housing environmental temperature | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.12 | Inadequate housing utilities | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.19 | Other inadequate housing | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.2 | Discord with neighbors, lodgers and landlord | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z59.3 | Problems related to living in residential institution | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z59.4 Lack of adequate food | ||||
| Z59.41 | Food insecurity | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.48 | Other specified lack of adequate food | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.5 | Extreme poverty | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z59.6 | Low income | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z59.7 Insufficient social insurance and welfare support | ||||
| Z59.71 | Insufficient health insurance coverage | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.72 | Insufficient welfare support | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.8 Other problems related to housing and economic circumstances | ||||
| Z59.81 Housing instability, housed | ||||
| Z59.811 | Housing instability, housed, with risk of homelessness | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.812 | Housing instability, housed, homelessness in past 12 months | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.819 | Housing instability, housed unspecified | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.82 | Transportation insecurity | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.86 Financial insecurity | ||||
| Z59.861 | Financial insecurity, difficulty paying for utilities | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.868 | Other specified financial insecurity | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.869 | Financial insecurity, unspecified | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.87 | Material hardship due to limited financial resources, not elsewhere classifiedCMS: Material hardship due to limited financial resources, NEC | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.89 | Other problems related to housing and economic circumstances | Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosis | None | None |
| Z59.9 | Problem related to housing and economic circumstances, unspecifiedCMS: Problem related to housing and economic circumstances, unsp | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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