Z65.4Victim of crime and terrorism

Z65.4 is the ICD-10-CM diagnosis code for victim of crime and terrorism. It belongs to category Z65 (problems related to other psychosocial 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 Z65 (problems related to other psychosocial circumstances), Z65.4 is specifically for victim of crime and terrorism. Related codes cover Conviction in civil and criminal proceedings without imprisonment (Z65.0), imprisonment and other incarceration (Z65.1), problems related to release from prison (Z65.2), problems related to other legal circumstances (Z65.3), exposure to disaster, war and other hostilities (Z65.5), other specified problems related to psychosocial circumstances (Z65.8) and problem related to unspecified psychosocial circumstances (Z65.9).

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 V62.89 (other psychological or physical stress, not elsewhere classified).