Provider Education

Z Codes

Z codes notate social and economic factors that contribute greatly to our members’ health including:

High BMI
Tobacco abuse
Drug abuse
Alcohol abuse
Psychosocial circumstances
Homelessness
Family conflict
Employment issues

By providers notating on claims these social determinants of health through Z codes, CCHP community health navigators and case managers can use these codes to assess resource needs. Please include these ICD-10 Z codes on claims if you notice members that may need additional support. CCHP is always looking for ways to help improve the lives of our members and by you notating these codes this gives our team more opportunities.

Here are the codes:

Description	ICD-10 Codes
Educational Problems	Z55 Problems related to education and literacy Z550 Illiteracy and low-level literacy Z551 Schooling unavailable and unattainable Z552 Failed school examinations Z553 Underachievement in School Z554 Educational maladjustment and discord with teachers and classmates Z558 Other problems related to education and literacy, unspecified Z559 Problems related to education and literacy, unspecified
Employment Issues	Z56 Problems related to employment and unemployment Z560 Unemployment, unspecified Z561 Change of job Z562 Threat of job loss Z563 Stressful work schedule Z564 Discord with boss and workmates Z565 Uncongenial work environment Z566 Other physical and mental strain related to employment Z5681 Sexual harassment on the job Z5682 Military deployment status Z5689 Other problems related to employment
Homelessness	Z59 Problems related to housing and economic circumstances Z590 Homelessness Z591 Inadequate housing Z592 Discord with neighbors, lodgers, and landlord Z593 Problems related to living in residential institution Z594 Lack of adequate food and safe drinking water Z595 Extreme poverty Z596 Low income Z597 Insufficient social insurance and welfare support Z598 Other problems related to housing and economic circumstances
BMI	Z6841 Body mass index (BMI) 40.0-44.9, adult Z6842 Body mass index (BMI) 45.0-49.9, adult Z6843 Body mass index (BMI) 50-59.9, adult Z6844 Body mass index (BMI) 60.0-69.9, adult Z6845 Body mass index (BMI) 70 or greater, adult Z6851 BMI pediatric, less than 5th percentile for age Z6852 BMI pediatric, 5th percentile to less than 85% for age Z6853 BMI pediatric, 85% to less than 95th percentile for age Z6854 BMI pediatric, greater than or equal to 95% for age
Alcohol and Drug Abuse	Z714 Alcohol abuse counseling and surveillance Z7141 Alcohol abuse counseling and surveillance of alcoholic Z7142 Counseling for family member of alcoholic Z715 Drug abuse counseling and surveillance Z7151 Drug abuse counseling and surveillance of drug abuser Z7152 Counseling for family member of drug abuser

Provider Education

Z Codes

Medicaid

Together with CCHP