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Capturing Social Determinants of Health Using Z Codes

Follow-Up Questions: Sabrina

Which code or codes related to the literacy and education category could you consider based on documentation?

Select each Z code option to learn more about how it might apply to the scenario.

Photo of Sabrina

Sabrina

Z55.0,
Illiteracy and low-level literacy

This code applies to Sabrina’s reported SDOH.

Z55.1,
Schooling unavailable and unattainable

Based on what you know about Sabrina, this may or may not have been why she has reading problems.

Z55.2,
Failed school examinations

Sabrina hasn’t mentioned this.

Z55.3,
Underachievement in school

This may be an issue even if Sabrina hasn’t mentioned it. More discussion is needed.

Z55.4,
Educational maladjustment and discord with teachers and classmates

Sabrina hasn’t mentioned this.

Z55.5,
Less than a high school diploma

This could apply because Sabrina mentioned that she didn’t finish high school.

Z55.6,
Problems related to health literacy

This code likely applies for Sabrina, given her difficulty understanding instructions related to taking her medication.

Z55.8,
Other problems related to education and literacy

While this code includes problems related to inadequate teaching, it may be too vague.

Z55.9,
Problem related to education and literacy, unspecified

While this code includes academic problems not otherwise specified, it may be too vague.