ICD-10 · PDGM grouping
Z55-Z65 — Persons with potential health hazards related to socioeconomic and psychosocial circumstances
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.
OASIS-E2 v1.00.0 · ingested 2026-04-26
Codes in range
117
No clinical group
117
A period cannot be grouped from these.
Barred as primary
34
CMS rejects these in the primary position.
Where these codes group
None of the 117 codes in Z55-Z65 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.
Every code in Z55-Z65
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| Z550 | Illiteracy and low-level literacy | None | Cannot group |
| Z551 | Schooling unavailable and unattainable | None | Cannot group |
| Z552 | Failed school examinations | None | Cannot group |
| Z553 | Underachievement in school | None | Cannot group |
| Z554 | Educational maladjustment & discord w teachers & classmates | None | Cannot group |
| Z555 | Less than a high school diploma | None | Not accepted |
| Z556 | Problems related to health literacy | None | Not accepted |
| Z558 | Other problems related to education and literacy | None | Cannot group |
| Z559 | Problems related to education and literacy, unspecified | None | Cannot group |
| Z560 | Unemployment, unspecified | None | Cannot group |
| Z561 | Change of job | None | Cannot group |
| Z562 | Threat of job loss | None | Cannot group |
| Z563 | Stressful work schedule | None | Cannot group |
| Z564 | Discord with boss and workmates | None | Cannot group |
| Z565 | Uncongenial work environment | None | Cannot group |
| Z566 | Other physical and mental strain related to work | None | Cannot group |
| Z5681 | Sexual harassment on the job | None | Cannot group |
| Z5682 | Military deployment status | None | Cannot group |
| Z5689 | Other problems related to employment | None | Cannot group |
| Z569 | Unspecified problems related to employment | None | Cannot group |
| Z570 | Occupational exposure to noise | None | Cannot group |
| Z571 | Occupational exposure to radiation | None | Cannot group |
| Z572 | Occupational exposure to dust | None | Cannot group |
| Z5731 | Occupational exposure to environmental tobacco smoke | None | Cannot group |
| Z5739 | Occupational exposure to other air contaminants | None | Cannot group |
| Z574 | Occupational exposure to toxic agents in agriculture | None | Cannot group |
| Z575 | Occupational exposure to toxic agents in other industries | None | Cannot group |
| Z576 | Occupational exposure to extreme temperature | None | Cannot group |
| Z577 | Occupational exposure to vibration | None | Cannot group |
| Z578 | Occupational exposure to other risk factors | None | Cannot group |
| Z579 | Occupational exposure to unspecified risk factor | None | Cannot group |
| Z586 | Inadequate drinking-water supply | None | Not accepted |
| Z5881 | Basic services unavailable in physical environment | None | Not accepted |
| Z5889 | Other problems related to physical environment | None | Not accepted |
| Z5900 | Homelessness unspecified | None | Not accepted |
| Z5901 | Sheltered homelessness | None | Not accepted |
| Z5902 | Unsheltered homelessness | None | Not accepted |
| Z5910 | Inadequate housing, unspecified | None | Not accepted |
| Z5911 | Inadequate housing environmental temperature | None | Not accepted |
| Z5912 | Inadequate housing utilities | None | Not accepted |
| Z5919 | Other inadequate housing | None | Not accepted |
| Z592 | Discord with neighbors, lodgers and landlord | None | Cannot group |
| Z593 | Problems related to living in residential institution | None | Cannot group |
| Z5941 | Food insecurity | None | Not accepted |
| Z5948 | Other specified lack of adequate food | None | Not accepted |
| Z595 | Extreme poverty | None | Cannot group |
| Z596 | Low income | None | Cannot group |
| Z5971 | Insufficient health insurance coverage | None | Not accepted |
| Z5972 | Insufficient welfare support | None | Not accepted |
| Z59811 | Housing instability, housed, with risk of homelessness | None | Not accepted |
| Z59812 | Housing instability, housed, homelessness in past 12 months | None | Not accepted |
| Z59819 | Housing instability, housed unspecified | None | Not accepted |
| Z5982 | Transportation insecurity | None | Not accepted |
| Z59861 | Financial insecurity, difficulty paying for utilities | None | Not accepted |
| Z59868 | Other specified financial insecurity | None | Not accepted |
| Z59869 | Financial insecurity, unspecified | None | Not accepted |
| Z5987 | Material hardship due to limited financial resources, NEC | None | Not accepted |
| Z5989 | Other problems related to housing and economic circumstances | None | Not accepted |
| Z599 | Problem related to housing and economic circumstances, unsp | None | Cannot group |
| Z600 | Problems of adjustment to life-cycle transitions | None | Cannot group |
| Z602 | Problems related to living alone | None | Cannot group |
| Z603 | Acculturation difficulty | None | Cannot group |
| Z604 | Social exclusion and rejection | None | Cannot group |
| Z605 | Target of (perceived) adverse discrimination and persecution | None | Cannot group |
| Z608 | Other problems related to social environment | None | Cannot group |
| Z609 | Problem related to social environment, unspecified | None | Cannot group |
| Z620 | Inadequate parental supervision and control | None | Cannot group |
| Z621 | Parental overprotection | None | Cannot group |
| Z6221 | Child in welfare custody | None | Cannot group |
| Z6222 | Institutional upbringing | None | Cannot group |
| Z6223 | Child in custody of non-parental relative | None | Not accepted |
| Z6224 | Child in custody of non-relative guardian | None | Not accepted |
| Z6229 | Other upbringing away from parents | None | Cannot group |
| Z623 | Hostility towards and scapegoating of child | None | Cannot group |
| Z626 | Inappropriate (excessive) parental pressure | None | Cannot group |
| Z62810 | Personal history of physical and sexual abuse in childhood | None | Cannot group |
| Z62811 | Personal history of psychological abuse in childhood | None | Cannot group |
| Z62812 | Personal history of neglect in childhood | None | Cannot group |
| Z62813 | Pers hx of forced labor or sexual exploitation in childhood | None | Cannot group |
| Z62814 | Personal history of child financial abuse | None | Not accepted |
| Z62815 | Personal history of intimate partner abuse in childhood | None | Not accepted |
| Z62819 | Personal history of unspecified abuse in childhood | None | Cannot group |
| Z62820 | Parent-biological child conflict | None | Cannot group |
| Z62821 | Parent-adopted child conflict | None | Cannot group |
| Z62822 | Parent-foster child conflict | None | Cannot group |
| Z62823 | Parent-step child conflict | None | Not accepted |
| Z62831 | Non-parental relative-child conflict | None | Not accepted |
| Z62832 | Non-relative guardian-child conflict | None | Not accepted |
| Z62833 | Group home staff-child conflict | None | Not accepted |
| Z62890 | Parent-child estrangement NEC | None | Cannot group |
| Z62891 | Sibling rivalry | None | Cannot group |
| Z62892 | Runaway [from current living environment] | None | Not accepted |
| Z62898 | Other specified problems related to upbringing | None | Cannot group |
| Z629 | Problem related to upbringing, unspecified | None | Cannot group |
| Z630 | Problems in relationship with spouse or partner | None | Cannot group |
| Z631 | Problems in relationship with in-laws | None | Cannot group |
| Z6331 | Absence of family member due to military deployment | None | Cannot group |
| Z6332 | Other absence of family member | None | Cannot group |
| Z634 | Disappearance and death of family member | None | Cannot group |
| Z635 | Disruption of family by separation and divorce | None | Cannot group |
| Z636 | Dependent relative needing care at home | None | Cannot group |
| Z6371 | Stress on fam d/t return of family member from miltry deploy | None | Cannot group |
| Z6372 | Alcoholism and drug addiction in family | None | Cannot group |
| Z6379 | Other stressful life events affecting family and household | None | Cannot group |
| Z638 | Other specified problems related to primary support group | None | Cannot group |
| Z639 | Problem related to primary support group, unspecified | None | Cannot group |
| Z640 | Problems related to unwanted pregnancy | None | Cannot group |
| Z641 | Problems related to multiparity | None | Cannot group |
| Z644 | Discord with counselors | None | Cannot group |
| Z650 | Conviction in civil & criminal proceedings w/o imprisonment | None | Cannot group |
| Z651 | Imprisonment and other incarceration | None | Cannot group |
| Z652 | Problems related to release from prison | None | Cannot group |
| Z653 | Problems related to other legal circumstances | None | Cannot group |
| Z654 | Victim of crime and terrorism | None | Cannot group |
| Z655 | Exposure to disaster, war and other hostilities | None | Cannot group |
| Z658 | Oth problems related to psychosocial circumstances | None | Cannot group |
| Z659 | Problem related to unspecified psychosocial circumstances | None | Cannot group |
Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff.