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ICD-10-CM 2027

ICD-10 code for marital problem

Z63.0

Problems in relationship with spouse or partner

✓ Billable / specificNot a principal dx

From the official ICD-10-CM alphabetic index entry “Problem (with) (related to) › marital”. Page updated September 29, 2026.

About coding marital problem

The ICD-10-CM code for marital problem is Z63.0 (Problems in relationship with spouse or partner). The official index lists 3 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on Z63.0.

Within Z63 (other problems related to primary support group, including family circumstances), Z63.0 is specifically for problems in relationship with spouse or partner. Related codes cover 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), other specified problems related to primary support group (Z63.8) and problem related to primary support group, unspecified (Z63.9).

Don't report Z63.0 together with the conditions in its Excludes1 note: counseling for spousal or partner abuse problems (Z69.1) and counseling related to sexual attitude, behavior, and orientation (Z70.-).

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

More specific marital problem codes (official index)

  • involving
  • divorce Z63.5 — Disruption of family by separation and divorce
  • estrangement Z63.5 — Disruption of family by separation and divorce
  • gender identity F66 — Other sexual disorders

Don't confuse with (Excludes1 for Z63.0)

  • counseling for spousal or partner abuse problems (Z69.1)
  • counseling related to sexual attitude, behavior, and orientation (Z70.-)

Common questions about marital problem ICD-10 codes

What is the ICD-10 code for marital problem?

Z63.0 — Problems in relationship with spouse or partner. More specific codes apply when the documentation supports them: Z63.5, Z63.5, F66.

Is Z63.0 billable?

Yes. Z63.0 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z63.0 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 Z63.0 a CC or MCC?

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