ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual
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MDC 23 Factors influencing health status and other contacts with health services
Other factors influencing health status
Page 3 of 4

PRINCIPAL DIAGNOSIS (continued)

F17200 Z0482 Z591 Z90410

Z591Inadequate housing
Z592Discord with neighbors, lodgers and landlord
Z593Problems related to living in residential institution
Z5941Food insecurity
Z5948Other specified lack of adequate food
Z595Extreme poverty
Z596Low income
Z597Insufficient social insurance and welfare support
Z59811Housing instability, housed, with risk of homelessness
Z59812Housing instability, housed, homelessness in past 12 months
Z59819Housing instability, housed unspecified
Z5989Other problems related to housing and economic circumstances
Z599Problem related to housing and economic circumstances, unspecified
Z600Problems of adjustment to life-cycle transitions
Z602Problems related to living alone
Z603Acculturation difficulty
Z604Social exclusion and rejection
Z605Target of (perceived) adverse discrimination and persecution
Z608Other problems related to social environment
Z609Problem related to social environment, unspecified
Z620Inadequate parental supervision and control
Z621Parental overprotection
Z6221Child in welfare custody
Z6222Institutional upbringing
Z6229Other upbringing away from parents
Z623Hostility towards and scapegoating of child
Z626Inappropriate (excessive) parental pressure
Z62810Personal history of physical and sexual abuse in childhood
Z62811Personal history of psychological abuse in childhood
Z62812Personal history of neglect in childhood
Z62813Personal history of forced labor or sexual exploitation in childhood
Z62819Personal history of unspecified abuse in childhood
Z62820Parent-biological child conflict
Z62821Parent-adopted child conflict
Z62822Parent-foster child conflict
Z62890Parent-child estrangement NEC
Z62891Sibling rivalry
Z62898Other specified problems related to upbringing
Z629Problem related to upbringing, unspecified
Z630Problems in relationship with spouse or partner
Z631Problems in relationship with in-laws
Z6331Absence of family member due to military deployment
Z6332Other absence of family member
Z634Disappearance and death of family member
Z635Disruption of family by separation and divorce
Z636Dependent relative needing care at home
Z6371Stress on family due to return of family member from military deployment
Z6372Alcoholism and drug addiction in family
Z6379Other stressful life events affecting family and household
Z638Other specified problems related to primary support group
Z639Problem related to primary support group, unspecified
Z644Discord with counselors
Z650Conviction in civil and criminal proceedings without imprisonment
Z651Imprisonment and other incarceration
Z652Problems related to release from prison
Z653Problems related to other legal circumstances
Z654Victim of crime and terrorism
Z655Exposure to disaster, war and other hostilities
Z658Other specified problems related to psychosocial circumstances
Z659Problem related to unspecified psychosocial circumstances
Z66Do not resuscitate
Z6710Type A blood, Rh positive
Z6711Type A blood, Rh negative
Z6720Type B blood, Rh positive
Z6721Type B blood, Rh negative
Z6730Type AB blood, Rh positive
Z6731Type AB blood, Rh negative
Z6740Type O blood, Rh positive
Z6741Type O blood, Rh negative
Z6790Unspecified blood type, Rh positive
Z6791Unspecified blood type, Rh negative
Z681Body mass index [BMI] 19.9 or less, adult
Z6820Body mass index [BMI] 20.0-20.9, adult
Z6821Body mass index [BMI] 21.0-21.9, adult
Z6822Body mass index [BMI] 22.0-22.9, adult
Z6823Body mass index [BMI] 23.0-23.9, adult
Z6824Body mass index [BMI] 24.0-24.9, adult
Z6825Body mass index [BMI] 25.0-25.9, adult
Z6826Body mass index [BMI] 26.0-26.9, adult
Z6827Body mass index [BMI] 27.0-27.9, adult
Z6828Body mass index [BMI] 28.0-28.9, adult
Z6829Body mass index [BMI] 29.0-29.9, adult
Z6830Body mass index [BMI] 30.0-30.9, adult
Z6831Body mass index [BMI] 31.0-31.9, adult
Z6832Body mass index [BMI] 32.0-32.9, adult
Z6833Body mass index [BMI] 33.0-33.9, adult
Z6834Body mass index [BMI] 34.0-34.9, adult
Z6835Body mass index [BMI] 35.0-35.9, adult
Z6836Body mass index [BMI] 36.0-36.9, adult
Z6837Body mass index [BMI] 37.0-37.9, adult
Z6838Body mass index [BMI] 38.0-38.9, adult
Z6839Body mass index [BMI] 39.0-39.9, adult
Z6851Body mass index [BMI] pediatric, less than 5th percentile for age
Z6852Body mass index [BMI] pediatric, 5th percentile to less than 85th percentile for age
Z6853Body mass index [BMI] pediatric, 85th percentile to less than 95th percentile for age
Z6854Body mass index [BMI] pediatric, greater than or equal to 95th percentile for age
Z69010Encounter for mental health services for victim of parental child abuse
Z69011Encounter for mental health services for perpetrator of parental child abuse
Z69020Encounter for mental health services for victim of non-parental child abuse
Z69021Encounter for mental health services for perpetrator of non-parental child abuse
Z6911Encounter for mental health services for victim of spousal or partner abuse
Z6912Encounter for mental health services for perpetrator of spousal or partner abuse
Z6981Encounter for mental health services for victim of other abuse
Z6982Encounter for mental health services for perpetrator of other abuse
Z700Counseling related to sexual attitude
Z701Counseling related to patient's sexual behavior and orientation
Z702Counseling related to sexual behavior and orientation of third party
Z703Counseling related to combined concerns regarding sexual attitude, behavior and orientation
Z708Other sex counseling
Z709Sex counseling, unspecified
Z710Person encountering health services to consult on behalf of another person
Z711Person with feared health complaint in whom no diagnosis is made
Z712Person consulting for explanation of examination or test findings
Z713Dietary counseling and surveillance
Z7141Alcohol abuse counseling and surveillance of alcoholic
Z7142Counseling for family member of alcoholic
Z7151Drug abuse counseling and surveillance of drug abuser
Z7152Counseling for family member of drug abuser
Z716Tobacco abuse counseling
Z717Human immunodeficiency virus [HIV] counseling
Z7181Spiritual or religious counseling
Z7182Exercise counseling
Z7183Encounter for nonprocreative genetic counseling
Z7184Encounter for health counseling related to travel
Z7185Encounter for immunization safety counseling
Z7189Other specified counseling
Z719Counseling, unspecified
Z720Tobacco use
Z723Lack of physical exercise
Z724Inappropriate diet and eating habits
Z7251High risk heterosexual behavior
Z7252High risk homosexual behavior
Z7253High risk bisexual behavior
Z726Gambling and betting
Z72820Sleep deprivation
Z72821Inadequate sleep hygiene
Z7289Other problems related to lifestyle
Z729Problem related to lifestyle, unspecified
Z730Burn-out
Z731Type A behavior pattern
Z732Lack of relaxation and leisure
Z733Stress, not elsewhere classified
Z734Inadequate social skills, not elsewhere classified
Z735Social role conflict, not elsewhere classified
Z736Limitation of activities due to disability
Z73810Behavioral insomnia of childhood, sleep-onset association type
Z73811Behavioral insomnia of childhood, limit setting type
Z73812Behavioral insomnia of childhood, combined type
Z73819Behavioral insomnia of childhood, unspecified type
Z7382Dual sensory impairment
Z7389Other problems related to life management difficulty
Z739Problem related to life management difficulty, unspecified
Z7401Bed confinement status
Z7409Other reduced mobility
Z741Need for assistance with personal care
Z742Need for assistance at home and no other household member able to render care
Z743Need for continuous supervision
Z748Other problems related to care provider dependency
Z749Problem related to care provider dependency, unspecified
Z750Medical services not available in home
Z751Person awaiting admission to adequate facility elsewhere
Z752Other waiting period for investigation and treatment
Z753Unavailability and inaccessibility of health-care facilities
Z754Unavailability and inaccessibility of other helping agencies
Z755Holiday relief care
Z758Other problems related to medical facilities and other health care
Z759Unspecified problem related to medical facilities and other health care
Z760Encounter for issue of repeat prescription
Z761Encounter for health supervision and care of foundling
Z762Encounter for health supervision and care of other healthy infant and child
Z763Healthy person accompanying sick person
Z764Other boarder to healthcare facility
Z765Malingerer [conscious simulation]
Z7681Expectant parent(s) prebirth pediatrician visit
Z7682Awaiting organ transplant status
Z7689Persons encountering health services in other specified circumstances
Z77010Contact with and (suspected) exposure to arsenic
Z77011Contact with and (suspected) exposure to lead
Z77012Contact with and (suspected) exposure to uranium
Z77018Contact with and (suspected) exposure to other hazardous metals
Z77020Contact with and (suspected) exposure to aromatic amines
Z77021Contact with and (suspected) exposure to benzene
Z77028Contact with and (suspected) exposure to other hazardous aromatic compounds
Z77090Contact with and (suspected) exposure to asbestos
Z77098Contact with and (suspected) exposure to other hazardous, chiefly nonmedicinal, chemicals
Z77110Contact with and (suspected) exposure to air pollution
Z77111Contact with and (suspected) exposure to water pollution
Z77112Contact with and (suspected) exposure to soil pollution
Z77118Contact with and (suspected) exposure to other environmental pollution
Z77120Contact with and (suspected) exposure to mold (toxic)
Z77121Contact with and (suspected) exposure to harmful algae and algae toxins
Z77122Contact with and (suspected) exposure to noise
Z77123Contact with and (suspected) exposure to radon and other naturally occurring radiation
Z77128Contact with and (suspected) exposure to other hazards in the physical environment
Z7721Contact with and (suspected) exposure to potentially hazardous body fluids
Z7722Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
Z7729Contact with and (suspected) exposure to other hazardous substances
Z779Other contact with and (suspected) exposures hazardous to health
Z780Asymptomatic menopausal state
Z781Physical restraint status
Z789Other specified health status
Z79810Long term (current) use of selective estrogen receptor modulators (SERMs)
Z79811Long term (current) use of aromatase inhibitors
Z79818Long term (current) use of other agents affecting estrogen receptors and estrogen levels
Z79890Hormone replacement therapy
Z800Family history of malignant neoplasm of digestive organs
Z801Family history of malignant neoplasm of trachea, bronchus and lung
Z802Family history of malignant neoplasm of other respiratory and intrathoracic organs
Z803Family history of malignant neoplasm of breast
Z8041Family history of malignant neoplasm of ovary
Z8042Family history of malignant neoplasm of prostate
Z8043Family history of malignant neoplasm of testis
Z8049Family history of malignant neoplasm of other genital organs
Z8051Family history of malignant neoplasm of kidney
Z8052Family history of malignant neoplasm of bladder
Z8059Family history of malignant neoplasm of other urinary tract organ
Z806Family history of leukemia
Z807Family history of other malignant neoplasms of lymphoid, hematopoietic and related tissues
Z808Family history of malignant neoplasm of other organs or systems
Z809Family history of malignant neoplasm, unspecified
Z810Family history of intellectual disabilities
Z811Family history of alcohol abuse and dependence
Z812Family history of tobacco abuse and dependence
Z813Family history of other psychoactive substance abuse and dependence
Z814Family history of other substance abuse and dependence
Z818Family history of other mental and behavioral disorders
Z820Family history of epilepsy and other diseases of the nervous system
Z821Family history of blindness and visual loss
Z822Family history of deafness and hearing loss
Z823Family history of stroke
Z8241Family history of sudden cardiac death
Z8249Family history of ischemic heart disease and other diseases of the circulatory system
Z825Family history of asthma and other chronic lower respiratory diseases
Z8261Family history of arthritis
Z8262Family history of osteoporosis
Z8269Family history of other diseases of the musculoskeletal system and connective tissue
Z8271Family history of polycystic kidney
Z8279Family history of other congenital malformations, deformations and chromosomal abnormalities
Z828Family history of other disabilities and chronic diseases leading to disablement, not elsewhere classified
Z830Family history of human immunodeficiency virus [HIV] disease
Z831Family history of other infectious and parasitic diseases
Z832Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Z833Family history of diabetes mellitus
Z8341Family history of multiple endocrine neoplasia [MEN] syndrome
Z8342Family history of familial hypercholesterolemia
Z83430Family history of elevated lipoprotein(a)
Z83438Family history of other disorder of lipoprotein metabolism and other lipidemia
Z8349Family history of other endocrine, nutritional and metabolic diseases
Z83511Family history of glaucoma
Z83518Family history of other specified eye disorder
Z8352Family history of ear disorders
Z836Family history of other diseases of the respiratory system
Z8371Family history of colonic polyps
Z8379Family history of other diseases of the digestive system
Z840Family history of diseases of the skin and subcutaneous tissue
Z841Family history of disorders of kidney and ureter
Z842Family history of other diseases of the genitourinary system
Z843Family history of consanguinity
Z8481Family history of carrier of genetic disease
Z8482Family history of sudden infant death syndrome
Z8489Family history of other specified conditions
Z86000Personal history of in-situ neoplasm of breast
Z86001Personal history of in-situ neoplasm of cervix uteri
Z86002Personal history of in-situ neoplasm of other and unspecified genital organs
Z86003Personal history of in-situ neoplasm of oral cavity, esophagus and stomach
Z86004Personal history of in-situ neoplasm of other and unspecified digestive organs
Z86005Personal history of in-situ neoplasm of middle ear and respiratory system
Z86006Personal history of melanoma in-situ
Z86007Personal history of in-situ neoplasm of skin
Z86008Personal history of in-situ neoplasm of other site
Z86010Personal history of colonic polyps
Z86011Personal history of benign neoplasm of the brain
Z86012Personal history of benign carcinoid tumor
Z86018Personal history of other benign neoplasm
Z8603Personal history of neoplasm of uncertain behavior
Z8611Personal history of tuberculosis
Z8612Personal history of poliomyelitis
Z8613Personal history of malaria
Z8614Personal history of Methicillin resistant Staphylococcus aureus infection
Z8615Personal history of latent tuberculosis infection
Z8616Personal history of COVID-19
Z8619Personal history of other infectious and parasitic diseases
Z862Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
Z8631Personal history of diabetic foot ulcer
Z8632Personal history of gestational diabetes
Z8639Personal history of other endocrine, nutritional and metabolic disease
Z8651Personal history of combat and operational stress reaction
Z8659Personal history of other mental and behavioral disorders
Z8661Personal history of infections of the central nervous system
Z8669Personal history of other diseases of the nervous system and sense organs
Z86711Personal history of pulmonary embolism
Z86718Personal history of other venous thrombosis and embolism
Z8672Personal history of thrombophlebitis
Z8673Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
Z8674Personal history of sudden cardiac arrest
Z8679Personal history of other diseases of the circulatory system
Z8701Personal history of pneumonia (recurrent)
Z8709Personal history of other diseases of the respiratory system
Z8711Personal history of peptic ulcer disease
Z8719Personal history of other diseases of the digestive system
Z872Personal history of diseases of the skin and subcutaneous tissue
Z87310Personal history of (healed) osteoporosis fracture
Z87311Personal history of (healed) other pathological fracture
Z87312Personal history of (healed) stress fracture
Z8739Personal history of other diseases of the musculoskeletal system and connective tissue
Z87411Personal history of vaginal dysplasia
Z87412Personal history of vulvar dysplasia
Z8742Personal history of other diseases of the female genital tract
Z87430Personal history of prostatic dysplasia
Z87438Personal history of other diseases of male genital organs
Z87440Personal history of urinary (tract) infections
Z87441Personal history of nephrotic syndrome
Z87442Personal history of urinary calculi
Z87448Personal history of other diseases of urinary system
Z8751Personal history of pre-term labor
Z8759Personal history of other complications of pregnancy, childbirth and the puerperium
Z87710Personal history of (corrected) hypospadias
Z87718Personal history of other specified (corrected) congenital malformations of genitourinary system
Z87720Personal history of (corrected) congenital malformations of eye
Z87721Personal history of (corrected) congenital malformations of ear
Z87728Personal history of other specified (corrected) congenital malformations of nervous system and sense organs
Z87730Personal history of (corrected) cleft lip and palate
Z87738Personal history of other specified (corrected) congenital malformations of digestive system
Z8774Personal history of (corrected) congenital malformations of heart and circulatory system
Z8775Personal history of (corrected) congenital malformations of respiratory system
Z8776Personal history of (corrected) congenital malformations of integument, limbs and musculoskeletal system
Z87790Personal history of (corrected) congenital malformations of face and neck
Z87798Personal history of other (corrected) congenital malformations
Z8781Personal history of (healed) traumatic fracture
Z87820Personal history of traumatic brain injury
Z87821Personal history of retained foreign body fully removed
Z87828Personal history of other (healed) physical injury and trauma
Z87891Personal history of nicotine dependence
Z87892Personal history of anaphylaxis
Z87898Personal history of other specified conditions
Z880Allergy status to penicillin
Z881Allergy status to other antibiotic agents
Z882Allergy status to sulfonamides
Z883Allergy status to other anti-infective agents
Z884Allergy status to anesthetic agent
Z885Allergy status to narcotic agent
Z886Allergy status to analgesic agent
Z887Allergy status to serum and vaccine
Z888Allergy status to other drugs, medicaments and biological substances
Z889Allergy status to unspecified drugs, medicaments and biological substances
Z89011Acquired absence of right thumb
Z89012Acquired absence of left thumb
Z89019Acquired absence of unspecified thumb
Z89021Acquired absence of right finger(s)
Z89022Acquired absence of left finger(s)
Z89029Acquired absence of unspecified finger(s)
Z89111Acquired absence of right hand
Z89112Acquired absence of left hand
Z89119Acquired absence of unspecified hand
Z89121Acquired absence of right wrist
Z89122Acquired absence of left wrist
Z89129Acquired absence of unspecified wrist
Z89201Acquired absence of right upper limb, unspecified level
Z89202Acquired absence of left upper limb, unspecified level
Z89209Acquired absence of unspecified upper limb, unspecified level
Z89211Acquired absence of right upper limb below elbow
Z89212Acquired absence of left upper limb below elbow
Z89219Acquired absence of unspecified upper limb below elbow
Z89221Acquired absence of right upper limb above elbow
Z89222Acquired absence of left upper limb above elbow
Z89229Acquired absence of unspecified upper limb above elbow
Z89231Acquired absence of right shoulder
Z89232Acquired absence of left shoulder
Z89239Acquired absence of unspecified shoulder
Z89411Acquired absence of right great toe
Z89412Acquired absence of left great toe
Z89419Acquired absence of unspecified great toe
Z89421Acquired absence of other right toe(s)
Z89422Acquired absence of other left toe(s)
Z89429Acquired absence of other toe(s), unspecified side
Z89431Acquired absence of right foot
Z89432Acquired absence of left foot
Z89439Acquired absence of unspecified foot
Z89441Acquired absence of right ankle
Z89442Acquired absence of left ankle
Z89449Acquired absence of unspecified ankle
Z89511Acquired absence of right leg below knee
Z89512Acquired absence of left leg below knee
Z89519Acquired absence of unspecified leg below knee
Z89521Acquired absence of right knee
Z89522Acquired absence of left knee
Z89529Acquired absence of unspecified knee
Z89611Acquired absence of right leg above knee
Z89612Acquired absence of left leg above knee
Z89619Acquired absence of unspecified leg above knee
Z89621Acquired absence of right hip joint
Z89622Acquired absence of left hip joint
Z89629Acquired absence of unspecified hip joint
Z899Acquired absence of limb, unspecified
Z9002Acquired absence of larynx
Z9009Acquired absence of other part of head and neck
Z9010Acquired absence of unspecified breast and nipple
Z9011Acquired absence of right breast and nipple
Z9012Acquired absence of left breast and nipple
Z9013Acquired absence of bilateral breasts and nipples
Z903Acquired absence of stomach [part of]



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