DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

Z59 Problems related to housing and economic circumstances

  • Header · not billable

Z59 is not billable. The category heads 25 billable codes in FY2027, grouped under 10 subdivisions.

Index → code

Where it sits

  1. Chapter 21 Factors influencing health status and contact with health services (Z00-Z99)
  2. Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
  3. Z59 Problems related to housing and economic circumstances
Billable codes
25
Subdivisions
10
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
127

Codes in Z59

  1. Z59.0
    Homelessness
    Header
  2. Z59.00
    Homelessness unspecified
    BillableExempt
  3. Z59.01
    Sheltered homelessness
    BillableExempt
    Inclusion terms 2

    Inclusion terms

    • Doubled up
    • Living in a shelter such as: motel, scattered site housing, temporary or transitional living situation
  4. Z59.02
    Unsheltered homelessness
    BillableExempt
    Inclusion terms 3

    Inclusion terms

    • Lives in a homeless encampment
    • Residing in place not meant for human habitation such as: abandoned buildings, cars, parks, sidewalk
    • Residing on the street
  5. Z59.1
    Inadequate housing
    Header
    Excludes2 1

    Excludes2

    • problems related to the natural and physical environment (Z77.1-) Z77.1
  6. Z59.10
    Inadequate housing, unspecified
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Inadequate housing NOS
  7. Z59.11
    Inadequate housing environmental temperature
    BillableExempt
    Inclusion terms 2

    Inclusion terms

    • Lack of air conditioning
    • Lack of heating
  8. Z59.12
    Inadequate housing utilities
    BillableExempt
    Inclusion terms 4, Excludes2 4

    Inclusion terms

    • Lack of electricity services
    • Lack of gas services
    • Lack of oil services
    • Lack of water services

    Excludes2

    • basic services unavailable in physical environment (Z58.81) Z58.81
    • financial insecurity, difficulty paying for utilities (Z59.861) Z59.861
    • lack of adequate food (Z59.4-) Z59.4
    • other problems related to housing and economic circumstances (Z59.8-) Z59.8
  9. Z59.19
    Other inadequate housing
    BillableExempt
    Inclusion terms 5

    Inclusion terms

    • Pest infestation
    • Poor housing weatherization
    • Restriction of space
    • Technical defects in home preventing adequate care
    • Unsatisfactory surroundings
  10. Z59.2
    Discord with neighbors, lodgers and landlord
    BillableExempt
  11. Z59.3
    Problems related to living in residential institution
    BillableExempt
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Boarding-school resident

    Excludes1

    • institutional upbringing (Z62.22) Z62.22
  12. Z59.4
    Lack of adequate food
    Header
    Excludes2 4

    Excludes2

    • deprivation of food (T73.0) T73.0
    • effects of hunger (T73.0) T73.0
    • inappropriate diet or eating habits (Z72.4) Z72.4
    • malnutrition (E40-E46) E40 E46
  13. Z59.41
    Food insecurity
    BillableExempt
  14. Z59.48
    Other specified lack of adequate food
    BillableExempt
    Inclusion terms 2

    Inclusion terms

    • Inadequate food
    • Lack of food
  15. Z59.5
    Extreme poverty
    BillableExempt
  16. Z59.6
    Low income
    BillableExempt
  17. Z59.7
    Insufficient social insurance and welfare support
    Header
    Inclusion terms 1

    Inclusion terms

    • Insufficient social and welfare insurance
  18. Z59.71
    Insufficient health insurance coverage
    BillableExempt
    Inclusion terms 3

    Inclusion terms

    • Inadequate social insurance
    • Insufficient social insurance
    • No health insurance coverage
  19. Z59.72
    Insufficient welfare support
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Inadequate welfare support
  20. Z59.8
    Other problems related to housing and economic circumstances
    Header
  21. Z59.81
    Housing instability, housed
    Header
    Inclusion terms 3

    Inclusion terms

    • Foreclosure on home loan
    • Past due on rent or mortgage
    • Unwanted multiple moves in the last 12 months
  22. Z59.811
    Housing instability, housed, with risk of homelessness
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Imminent risk of homelessness
  23. Z59.812
    Housing instability, housed, homelessness in past 12 months
    BillableExempt
  24. Z59.819
    Housing instability, housed unspecified
    BillableExempt
    Excludes2 4

    Excludes2

    • extreme poverty (Z59.5) Z59.5
    • financial insecurity (Z59.86-) Z59.86
    • low income (Z59.6) Z59.6
    • material hardship due to limited financial resources, not elsewhere classified (Z59.87) Z59.87
  25. Z59.82
    Transportation insecurity
    BillableExempt
    Inclusion terms 7, Excludes2 1

    Inclusion terms

    • Excessive transportation time
    • Inaccessible transportation
    • Inadequate transportation
    • Lack of transportation
    • Unaffordable transportation
    • Unreliable transportation
    • Unsafe transportation

    Excludes2

    • unavailability and inaccessibility of healthcare facilities (Z75.3) Z75.3
  26. Z59.86
    Financial insecurity
    Header
    Inclusion terms 6, Excludes2 3

    Inclusion terms

    • Burdensome debt
    • Economic strain
    • Financial strain
    • Money problems
    • Running out of money
    • Unable to make ends meet

    Excludes2

    • extreme poverty (Z59.5) Z59.5
    • low income (Z59.6) Z59.6
    • material hardship, not elsewhere classified (Z59.87) Z59.87
  27. Z59.861
    Financial insecurity, difficulty paying for utilities
    BillableExempt
    Inclusion terms 5, Excludes2 1

    Inclusion terms

    • Difficulty paying for electricity
    • Difficulty paying for heat
    • Difficulty paying for oil
    • Difficulty paying water bill
    • Utility disconnect notice due to inability to pay

    Excludes2

    • inadequate housing utilities (Z59.12) Z59.12
  28. Z59.868
    Other specified financial insecurity
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Bankruptcy
  29. Z59.869
    Financial insecurity, unspecified
    BillableExempt
  30. Z59.87
    Material hardship due to limited financial resources, not elsewhere classified
    BillableExempt
    Inclusion terms 4, Excludes2 3

    Inclusion terms

    • Material deprivation due to limited financial resources
    • Unable to obtain adequate childcare due to limited financial resources
    • Unable to obtain adequate clothing due to limited financial resources
    • Unable to obtain basic needs due to limited financial resources

    Excludes2

    • extreme poverty (Z59.5) Z59.5
    • financial insecurity, not elsewhere classified (Z59.86-) Z59.86
    • low income (Z59.6) Z59.6
  31. Z59.89
    Other problems related to housing and economic circumstances
    BillableExempt
    Inclusion terms 3

    Inclusion terms

    • Foreclosure on loan
    • Isolated dwelling
    • Problems with creditors
  32. Z59.9
    Problem related to housing and economic circumstances, unspecified
    BillableExempt

Sources of each column.

Instructions

At Z59

Excludes2

  • problems related to upbringing (Z62.-) Z62

Notes that also apply

Chapter 21 instructions (Notes 3): printed on the chapter 21 page.

Index entries

  • Hobo → Z59.00
  • Homelessness → Z59.00
  • Migrant, social → Z59.00
  • Nomad, nomadism → Z59.00
  • Tramp → Z59.00
  • Transient (meaning homeless) → Z59.00
  • Vagabond, vagabondage → Z59.00
  • Vagrancy → Z59.00
  • Doubled up → Z59.01
  • Living in a shelter (motel) (scattered site housing) (temporary or transitional living situation) → Z59.01
  • Lives in a homeless encampment → Z59.02
  • Poverty NEC → Z59.6
  • Past due on rent or mortgage → Z59.81-
  • Unaffordable transportation → Z59.82
  • Unreliable transportation → Z59.82
  • Unsafe transportation → Z59.82
  • Bankruptcy (anxiety concerning) → Z59.868
  • Debt, burdensome → Z59.868
  • Running out of money → Z59.868
  • Hardship, material, due to limited financial resources, specified NEC → Z59.87
  • Foreclosure on loan → Z59.89
  • Economic circumstances affecting care → Z59.9
  • Financial problem affecting care NOS → Z59.9
  • Household, housing circumstance affecting care → Z59.9
  • Lack ofhousing (permanent) (temporary) → Z59.00
  • Migratory, migratingperson → Z59.00
  • Problem (with) (related to)homelessness → Z59.00
  • Socialmigrant → Z59.00
  • Homelessnesssheltered → Z59.01
  • Homelessnessunsheltered → Z59.02
  • Lack ofshelter → Z59.02
  • Residingin place not meant for human habitation (abandoned building) (car) (park) (sidewalk) → Z59.02
  • Residingon the street → Z59.02
  • Inadequate, inadequacyhousing → Z59.10
  • Inadequate, inadequacyenvironment, household → Z59.11
  • Lack ofair conditioning → Z59.11
  • Lack ofheating → Z59.11
  • Lack ofelectricity services → Z59.12
  • Lack ofgas services → Z59.12
  • Lack ofoil services → Z59.12

87 more, longer entries are not listed; the search box finds them by word.

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