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Capturing Social Determinants of Health Using Z Codes

Follow-Up Questions: Jason’s Eviction Concerns

Which code or codes related to housing and economic circumstances could you consider in this instance based on the therapist’s documentation? Select each Z code option to learn more about how it might apply to the scenario.

Photo of Jason

Jason

Z59.01,
Sheltered homelessness

This doesn’t apply because Jason and his family have a home.

Z59.11,
Inadequate housing environmental temperature

This code applies because Jason mentioned an issue with the heating system. Code subcategory Z59.1 covers a variety of elements related to inadequate housing. Use specific codes to reflect the applicable elements like lack of heating, restriction of space, technical defects in home preventing adequate care, and unsatisfactory surroundings.

Z59.2,
Discord with neighbors, lodgers, and landlord

This code applies because Jason described a conflict with his landlord.

Z59.41,
Food insecurity

Jason hasn’t mentioned this.

Z59.6,
Low income

Jason didn’t discuss this, but it may apply because he said his family lives in low-income housing.

Z59.7,
Insufficient social insurance and welfare support

We know from Lesson 1 that Jason has insufficient health insurance coverage. But this wasn’t mentioned in this doctor’s visit, so the code doesn’t apply.

Z59.811,
Housing instability, housed, with risk of homelessness

This code applies because Jason said he’s worried about losing his housing.

Z59.9,
Problem related to housing and economic circumstances, unspecified

This code isn’t specific enough.