ICD-10 code for problem family

The ICD-10-CM code for problem family is Z63.9 (Problem related to primary support group, unspecified). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on Z63.9.

Within Z63, choose Z63.9 (Problem related to primary support group, unspecified) 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 other specified problems related to primary support group (Z63.8).

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.