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ICD-10-CM 2027 diagnosis code

Z62.23Child in custody of non-parental relative

✓ Billable / specificPOA exemptPediatric · age 0–17Not a principal dx

Z62.23 is a valid, billable ICD-10-CM code for child in custody of non-parental relative. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Looking up by condition? See ICD-10 code for Guardianship by non-parental relative.

Code last changed in FY2024 (effective October 1, 2023). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About Z62.23

Z62.23 is the ICD-10-CM diagnosis code for child in custody of non-parental relative. 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), Z62.23 is specifically for child in custody of non-parental relative. Related codes cover child in welfare custody (Z62.21), Institutional upbringing (Z62.22), 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.

The Medicare Code Editor expects this diagnosis only for patients age 0 through 17; other ages trigger an age-conflict edit.

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 was added in FY2024, effective October 1, 2023.

Coding notes

Applicable toConditions and synonyms classified to this code
  • Child in care of non-parental family member
  • Child in custody of grandparent
  • Child in kinship care
  • Guardianship by non-parental relative
Code alsoTwo codes may be needed; sequencing depends on circumstances
  • , if applicable, child in welfare custody (Z62.21)

Notes that apply from higher levels

Instructions written at a parent level also apply to Z62.23.

› From Z62.2 Upbringing away from parents
Excludes1
  • problems with boarding school (Z59.3)
› From Z62 Problems related to upbringing
Includes
  • current and past negative life events in childhood
  • current and past problems of a child related to upbringing
Excludes2
  • maltreatment syndrome (T74.-)
  • problems related to housing and economic circumstances (Z59.-)

Broader instructions also apply from Chapter 21: Factors influencing health status and contact with health services.

Alphabetic index entries

5 entries

Terms in the official ICD-10-CM index that lead to Z62.23.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2024 (effective 10/1/2023): Added
  • No changes since FY2024.

Common questions about Z62.23

Is Z62.23 billable?

Yes. Z62.23 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z62.23 be used as a principal diagnosis?

No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

Is Z62.23 a CC or MCC?

No. Z62.23 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z62.23 group to?

Z62.23 is used in the MS-DRG v44.0 logic for MS-DRG 951 (Other Factors Influencing Health Status). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.