Z62.22Institutional upbringing

Z62.22 is the ICD-10-CM diagnosis code for Institutional upbringing. It belongs to category Z62 (problems related to upbringing), block Z55-Z65 (persons with potential health hazards related to socioeconomic and psychosocial circumstances) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z62.2 (upbringing away from parents), Z62.22 is specifically for Institutional upbringing. Related codes cover child in welfare custody (Z62.21), child in custody of non-parental relative (Z62.23), child in custody of non-relative guardian (Z62.24) and other upbringing away from parents (Z62.29).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V61.06 (family disruption due to child in foster care or in care of non-parental family member) and V61.8 (other specified family circumstances).