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ICD-10-CM 2027 diagnosis code

Z63.8Other specified problems related to primary support group

✓ Billable / specificPOA exemptNot a principal dx

Z63.8 is a valid, billable ICD-10-CM code for other specified problems related to primary support group. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About Z63.8

Z63.8 is the ICD-10-CM diagnosis code for other specified problems related to primary support group. It belongs to category Z63 (other problems related to primary support group, including family circumstances), 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 Z63, choose Z63.8 (Other specified problems related to primary support group) only when documentation doesn't support a more specific option: problems in relationship with spouse or partner (Z63.0), problems in relationship with in-laws (Z63.1), absence of family member (Z63.3), Disappearance and death of family member (Z63.4), disruption of family by separation and divorce (Z63.5), dependent relative needing care at home (Z63.6), other stressful life events affecting family and household (Z63.7) and problem related to primary support group, unspecified (Z63.9).

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 V61.09 (other family disruption) and V61.8 (other specified family circumstances).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Family discord NOS
  • Family estrangement NOS
  • High expressed emotional level within family
  • Inadequate family support NOS
  • Inadequate or distorted communication within family

Notes that apply from higher levels

Instructions written at a parent level also apply to Z63.8.

› From Z63 Other problems related to primary support group, including family circumstances
Excludes2
  • maltreatment syndrome (T74.-, T76)
  • parent-child problems (Z62.-)
  • problems related to negative life events in childhood (Z62.-)
  • problems related to upbringing (Z62.-)

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

Alphabetic index entries

13 entries

Terms in the official ICD-10-CM index that lead to Z63.8.

Codes whose notes reference Z63.8

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

ICD-9-CM equivalent

Converter →
  • V61.09Other family disruptionapproximate
  • V61.8Other specified family circumstancesapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about Z63.8

Is Z63.8 billable?

Yes. Z63.8 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z63.8 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 Z63.8 a CC or MCC?

No. Z63.8 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z63.8 group to?

Z63.8 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.

What is the ICD-9 code for Z63.8?

The CMS General Equivalence Mappings map Z63.8 to ICD-9-CM V61.09 and V61.8.