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Capturing Social Determinants of Health Using Z Codes

Follow-Up Questions: Jack

Which code or codes related to problems in primary support group and family circumstances could you consider based on the documentation in this instance? Select each Z code option to learn more about how it might apply to the scenario.

Photo of Jack

Jack

Z63.1,
Problems in relationship with in-laws

This doesn’t apply to Jack.

Z63.31,
Absence of family member due to military deployment

This refers to a person or family affected by another family member on military deployment. This doesn’t apply to Jack.

Z63.32,
Other absence of family member

This code isn’t specific enough.

Z63.5,
Disruption of family by separation and divorce

This code applies. It includes marital estrangement.

Z63.8,
Other specified problems related to primary support group

This includes family discord, family estrangement, high expressed emotional level within family, inadequate family support, and inadequate or distorted communication within family. All these might apply to Jack. Ask more questions to determine if you should assign this code to Jack's case and how you might need to adjust care or offer additional support.

Z63.9,
Problem related to primary support group

This code includes relationship discord not otherwise specified and isn’t specific enough to apply to Jack and Diane.