ICD-10 · PDGM grouping
Z65 Problems related to other psychosocial circumstances
All 8 codes in the Z65 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.
Codes in family
8
Can lead a claim
0
Cannot lead a claim
8
What CMS assigns to Z65
None of the 8 codes is assigned a clinical group. None of the 8 is assigned a comorbidity subgroup. None can lead a claim.
Every code in Z65
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 |
|---|---|---|---|---|
| Z65.0 | Conviction in civil and criminal proceedings without imprisonmentCMS: Conviction in civil & criminal proceedings w/o imprisonment | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z65.1 | Imprisonment and other incarceration | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z65.2 | Problems related to release from prison | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z65.3 | Problems related to other legal circumstances | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z65.4 | Victim of crime and terrorism | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z65.5 | Exposure to disaster, war and other hostilities | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z65.8 | Other specified problems related to psychosocial circumstancesCMS: Oth problems related to psychosocial circumstances | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| Z65.9 | Problem related to unspecified psychosocial circumstances | 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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