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 v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
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.
Code families in Z55-Z65
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- Z55Problems related to education and literacy9 codes
- Z56Problems related to employment and unemployment11 codes
- Z57Occupational exposure to risk factors11 codes
- Z58Problems related to physical environment3 codes
- Z59Problems related to housing and economic circumstances25 codes
- Z60Problems related to social environment7 codes
- Z62Problems related to upbringing28 codes
- Z63Other problems related to primary support group, including family circumstances12 codes
- Z64Problems related to certain psychosocial circumstances3 codes
- Z65Problems related to other psychosocial circumstances8 codes
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 lead a claim |
| Z551 | Schooling unavailable and unattainable | None | Cannot lead a claim |
| Z552 | Failed school examinations | None | Cannot lead a claim |
| Z553 | Underachievement in school | None | Cannot lead a claim |
| Z554 | Educational maladjustment & discord w teachers & classmates | None | Cannot lead a claim |
| Z555 | Less than a high school diploma | None | Cannot lead a claim |
| Z556 | Problems related to health literacy | None | Cannot lead a claim |
| Z558 | Other problems related to education and literacy | None | Cannot lead a claim |
| Z559 | Problems related to education and literacy, unspecified | None | Cannot lead a claim |
| Z560 | Unemployment, unspecified | None | Cannot lead a claim |
| Z561 | Change of job | None | Cannot lead a claim |
| Z562 | Threat of job loss | None | Cannot lead a claim |
| Z563 | Stressful work schedule | None | Cannot lead a claim |
| Z564 | Discord with boss and workmates | None | Cannot lead a claim |
| Z565 | Uncongenial work environment | None | Cannot lead a claim |
| Z566 | Other physical and mental strain related to work | None | Cannot lead a claim |
| Z5681 | Sexual harassment on the job | None | Cannot lead a claim |
| Z5682 | Military deployment status | None | Cannot lead a claim |
| Z5689 | Other problems related to employment | None | Cannot lead a claim |
| Z569 | Unspecified problems related to employment | None | Cannot lead a claim |
| Z570 | Occupational exposure to noise | None | Cannot lead a claim |
| Z571 | Occupational exposure to radiation | None | Cannot lead a claim |
| Z572 | Occupational exposure to dust | None | Cannot lead a claim |
| Z5731 | Occupational exposure to environmental tobacco smoke | None | Cannot lead a claim |
| Z5739 | Occupational exposure to other air contaminants | None | Cannot lead a claim |
| Z574 | Occupational exposure to toxic agents in agriculture | None | Cannot lead a claim |
| Z575 | Occupational exposure to toxic agents in other industries | None | Cannot lead a claim |
| Z576 | Occupational exposure to extreme temperature | None | Cannot lead a claim |
| Z577 | Occupational exposure to vibration | None | Cannot lead a claim |
| Z578 | Occupational exposure to other risk factors | None | Cannot lead a claim |
| Z579 | Occupational exposure to unspecified risk factor | None | Cannot lead a claim |
| Z586 | Inadequate drinking-water supply | None | Cannot lead a claim |
| Z5881 | Basic services unavailable in physical environment | None | Cannot lead a claim |
| Z5889 | Other problems related to physical environment | None | Cannot lead a claim |
| Z5900 | Homelessness unspecified | None | Cannot lead a claim |
| Z5901 | Sheltered homelessness | None | Cannot lead a claim |
| Z5902 | Unsheltered homelessness | None | Cannot lead a claim |
| Z5910 | Inadequate housing, unspecified | None | Cannot lead a claim |
| Z5911 | Inadequate housing environmental temperature | None | Cannot lead a claim |
| Z5912 | Inadequate housing utilities | None | Cannot lead a claim |
| Z5919 | Other inadequate housing | None | Cannot lead a claim |
| Z592 | Discord with neighbors, lodgers and landlord | None | Cannot lead a claim |
| Z593 | Problems related to living in residential institution | None | Cannot lead a claim |
| Z5941 | Food insecurity | None | Cannot lead a claim |
| Z5948 | Other specified lack of adequate food | None | Cannot lead a claim |
| Z595 | Extreme poverty | None | Cannot lead a claim |
| Z596 | Low income | None | Cannot lead a claim |
| Z5971 | Insufficient health insurance coverage | None | Cannot lead a claim |
| Z5972 | Insufficient welfare support | None | Cannot lead a claim |
| Z59811 | Housing instability, housed, with risk of homelessness | None | Cannot lead a claim |
| Z59812 | Housing instability, housed, homelessness in past 12 months | None | Cannot lead a claim |
| Z59819 | Housing instability, housed unspecified | None | Cannot lead a claim |
| Z5982 | Transportation insecurity | None | Cannot lead a claim |
| Z59861 | Financial insecurity, difficulty paying for utilities | None | Cannot lead a claim |
| Z59868 | Other specified financial insecurity | None | Cannot lead a claim |
| Z59869 | Financial insecurity, unspecified | None | Cannot lead a claim |
| Z5987 | Material hardship due to limited financial resources, NEC | None | Cannot lead a claim |
| Z5989 | Other problems related to housing and economic circumstances | None | Cannot lead a claim |
| Z599 | Problem related to housing and economic circumstances, unsp | None | Cannot lead a claim |
| Z600 | Problems of adjustment to life-cycle transitions | None | Cannot lead a claim |
| Z602 | Problems related to living alone | None | Cannot lead a claim |
| Z603 | Acculturation difficulty | None | Cannot lead a claim |
| Z604 | Social exclusion and rejection | None | Cannot lead a claim |
| Z605 | Target of (perceived) adverse discrimination and persecution | None | Cannot lead a claim |
| Z608 | Other problems related to social environment | None | Cannot lead a claim |
| Z609 | Problem related to social environment, unspecified | None | Cannot lead a claim |
| Z620 | Inadequate parental supervision and control | None | Cannot lead a claim |
| Z621 | Parental overprotection | None | Cannot lead a claim |
| Z6221 | Child in welfare custody | None | Cannot lead a claim |
| Z6222 | Institutional upbringing | None | Cannot lead a claim |
| Z6223 | Child in custody of non-parental relative | None | Cannot lead a claim |
| Z6224 | Child in custody of non-relative guardian | None | Cannot lead a claim |
| Z6229 | Other upbringing away from parents | None | Cannot lead a claim |
| Z623 | Hostility towards and scapegoating of child | None | Cannot lead a claim |
| Z626 | Inappropriate (excessive) parental pressure | None | Cannot lead a claim |
| Z62810 | Personal history of physical and sexual abuse in childhood | None | Cannot lead a claim |
| Z62811 | Personal history of psychological abuse in childhood | None | Cannot lead a claim |
| Z62812 | Personal history of neglect in childhood | None | Cannot lead a claim |
| Z62813 | Pers hx of forced labor or sexual exploitation in childhood | None | Cannot lead a claim |
| Z62814 | Personal history of child financial abuse | None | Cannot lead a claim |
| Z62815 | Personal history of intimate partner abuse in childhood | None | Cannot lead a claim |
| Z62819 | Personal history of unspecified abuse in childhood | None | Cannot lead a claim |
| Z62820 | Parent-biological child conflict | None | Cannot lead a claim |
| Z62821 | Parent-adopted child conflict | None | Cannot lead a claim |
| Z62822 | Parent-foster child conflict | None | Cannot lead a claim |
| Z62823 | Parent-step child conflict | None | Cannot lead a claim |
| Z62831 | Non-parental relative-child conflict | None | Cannot lead a claim |
| Z62832 | Non-relative guardian-child conflict | None | Cannot lead a claim |
| Z62833 | Group home staff-child conflict | None | Cannot lead a claim |
| Z62890 | Parent-child estrangement NEC | None | Cannot lead a claim |
| Z62891 | Sibling rivalry | None | Cannot lead a claim |
| Z62892 | Runaway [from current living environment] | None | Cannot lead a claim |
| Z62898 | Other specified problems related to upbringing | None | Cannot lead a claim |
| Z629 | Problem related to upbringing, unspecified | None | Cannot lead a claim |
| Z630 | Problems in relationship with spouse or partner | None | Cannot lead a claim |
| Z631 | Problems in relationship with in-laws | None | Cannot lead a claim |
| Z6331 | Absence of family member due to military deployment | None | Cannot lead a claim |
| Z6332 | Other absence of family member | None | Cannot lead a claim |
| Z634 | Disappearance and death of family member | None | Cannot lead a claim |
| Z635 | Disruption of family by separation and divorce | None | Cannot lead a claim |
| Z636 | Dependent relative needing care at home | None | Cannot lead a claim |
| Z6371 | Stress on fam d/t return of family member from miltry deploy | None | Cannot lead a claim |
| Z6372 | Alcoholism and drug addiction in family | None | Cannot lead a claim |
| Z6379 | Other stressful life events affecting family and household | None | Cannot lead a claim |
| Z638 | Other specified problems related to primary support group | None | Cannot lead a claim |
| Z639 | Problem related to primary support group, unspecified | None | Cannot lead a claim |
| Z640 | Problems related to unwanted pregnancy | None | Cannot lead a claim |
| Z641 | Problems related to multiparity | None | Cannot lead a claim |
| Z644 | Discord with counselors | None | Cannot lead a claim |
| Z650 | Conviction in civil & criminal proceedings w/o imprisonment | None | Cannot lead a claim |
| Z651 | Imprisonment and other incarceration | None | Cannot lead a claim |
| Z652 | Problems related to release from prison | None | Cannot lead a claim |
| Z653 | Problems related to other legal circumstances | None | Cannot lead a claim |
| Z654 | Victim of crime and terrorism | None | Cannot lead a claim |
| Z655 | Exposure to disaster, war and other hostilities | None | Cannot lead a claim |
| Z658 | Oth problems related to psychosocial circumstances | None | Cannot lead a claim |
| Z659 | Problem related to unspecified psychosocial circumstances | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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.
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