ICD-10 Z62
Non-Billable HeaderProblems related to upbringing
About ICD-10-CM Z62
ICD-10-CM code Z62 represents Problems related to upbringing. This is a non-billable header code in the Factors Influencing Health Status chapter (block Z62). The 2026 edition of ICD-10-CM Z62 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 2 Excludes
Not included here, the excluded code is not part of Z62, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- maltreatment syndrome (T74.-)
- problems related to housing and economic circumstances (Z59.-)
Includes
- current and past negative life events in childhood
- current and past problems of a child related to upbringing
Medicare LCD Coverage for Z62
Local Coverage Determinations (LCDs) from CMS MACs that list Z62 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z62.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z62 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z62
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Z62
Other codes in section Z55-Z65 (Persons with potential health hazards related to socioeconomic and psychosocial circumstances).
ICD-10 Z62, Billing FAQ
Is ICD-10 code Z62 billable? +
No, Z62 is a non-billable header code. Use a more specific child code from block Z62 when submitting claims.
What codes are Type 2 Excludes for Z62? +
Type 2 Excludes (may be coded together when both conditions exist): maltreatment syndrome (T74.-); problems related to housing and economic circumstances (Z59.-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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