DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

Z63 Other problems related to primary support group, including family circumstances

  • Header · not billable

Z63 is not billable. The category heads 12 billable codes in FY2027, grouped under 9 subdivisions.

Index → code

  • Marital conflict → Z63.0
  • Conjugal maladjustment → Z63.0
  • Estrangement (marital) → Z63.5

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. Z63 Other problems related to primary support group, including family circumstances
Billable codes
12
Subdivisions
9
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
66

Codes in Z63

  1. Z63.0
    Problems in relationship with spouse or partner
    BillableExempt
    Inclusion terms 1, Excludes1 2

    Inclusion terms

    • Relationship distress with spouse or intimate partner

    Excludes1

    • counseling for spousal or partner abuse problems (Z69.1) Z69.1
    • counseling related to sexual attitude, behavior, and orientation (Z70.-) Z70
  2. Z63.1
    Problems in relationship with in-laws
    BillableExempt
  3. Z63.3
    Absence of family member
    Header
    Excludes1 2

    Excludes1

    • absence of family member due to disappearance and death (Z63.4) Z63.4
    • absence of family member due to separation and divorce (Z63.5) Z63.5
  4. Z63.31
    Absence of family member due to military deployment
    BillableExempt
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Individual or family affected by other family member being on military deployment

    Excludes1

    • family disruption due to return of family member from military deployment (Z63.71) Z63.71
  5. Z63.32
    Other absence of family member
    BillableExempt
  6. Z63.4
    Disappearance and death of family member
    BillableExempt
    Inclusion terms 2

    Inclusion terms

    • Assumed death of family member
    • Bereavement
  7. Z63.5
    Disruption of family by separation and divorce
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Marital estrangement
  8. Z63.6
    Dependent relative needing care at home
    BillableExempt
  9. Z63.7
    Other stressful life events affecting family and household
    Header
  10. Z63.71
    Stress on family due to return of family member from military deployment
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Individual or family affected by family member having returned from military deployment (current or past conflict)
  11. Z63.72
    Alcoholism and drug addiction in family
    BillableExempt
  12. Z63.79
    Other stressful life events affecting family and household
    BillableExempt
    Inclusion terms 4

    Inclusion terms

    • Anxiety (normal) about sick person in family
    • Health problems within family
    • Ill or disturbed family member
    • Isolated family
  13. Z63.8
    Other specified problems related to primary support group
    BillableExempt
    Inclusion terms 5

    Inclusion terms

    • Family discord NOS
    • Family estrangement NOS
    • High expressed emotional level within family
    • Inadequate family support NOS
    • Inadequate or distorted communication within family
  14. Z63.9
    Problem related to primary support group, unspecified
    BillableExempt
    Inclusion terms 1

    Inclusion terms

    • Relationship disorder NOS

Sources of each column.

Instructions

At Z63

Excludes2

  • maltreatment syndrome (T74.-, T76) T74 T76
  • parent-child problems (Z62.-) Z62
  • problems related to negative life events in childhood (Z62.-) Z62
  • problems related to upbringing (Z62.-) Z62

Notes that also apply

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

Index entries

  • Conjugal maladjustment → Z63.0
  • Marital conflict → Z63.0
  • Bereavement (uncomplicated) → Z63.4
  • Disappearance of family member → Z63.4
  • Divorce, causing family disruption → Z63.5
  • Estrangement (marital) → Z63.5
  • Concern (normal) about sick person in family → Z63.6
  • Conflict (with)marital → Z63.0
  • Distressrelationship, with spouse or intimate partner → Z63.0
  • Maladjustmentconjugal → Z63.0
  • Maladjustmentmarital → Z63.0
  • Problem (with) (related to)marital → Z63.0
  • Discord (with)in-laws → Z63.1
  • Problem (with) (related to)in-law → Z63.1
  • Absence (of) (organ or part) (complete or partial)family member (causing problem in home) NEC → Z63.32
  • Death (cause unknown) (of) (unexplained) (unspecified cause)family member (assumed) → Z63.4
  • Loss (of)parent in childhood → Z63.4
  • Conjugal maladjustmentinvolving divorce or estrangement → Z63.5
  • Incompatibilitydivorce or estrangement → Z63.5
  • Person (with)concern (normal) about sick person in family → Z63.6
  • Person (with)sick or handicapped in family → Z63.6
  • Problem (with) (related to)alcoholism in family → Z63.72
  • Problem (with) (related to)drug addict in family → Z63.72
  • Isolation, isolatedfamily → Z63.79
  • Problem (with) (related to)presence of sick or disabled person in family or household → Z63.79
  • Sickor handicapped person in family → Z63.79
  • Conflict (with)family → Z63.8
  • Discord (with)family → Z63.8
  • Disruption (of)family → Z63.8
  • Distortion(s) (congenital)intrafamilial communications → Z63.8
  • Family, familialdisruption → Z63.8
  • Highexpressed emotional level within family → Z63.8
  • Inadequate, inadequacyfamily support → Z63.8
  • Inadequate, inadequacyintrafamilial communication → Z63.8
  • Problem (with) (related to)intrafamilial communication → Z63.8
  • Family, familialproblem → Z63.9
  • Maladjustmentfamily → Z63.9
  • Problem (with) (related to)family → Z63.9-
  • Problem (with) (related to)primary support group (family) → Z63.9
  • Problem (with) (related to)relationship → Z63.9

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

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy