ICD-10-CM 2027
ICD-10 code for social isolation
From the official ICD-10-CM alphabetic index entry “Isolation, isolated › social”. Page updated September 29, 2026.
About coding social isolation
The ICD-10-CM code for social isolation is Z60.4 (Social exclusion and rejection).
Within Z60 (problems related to social environment), Z60.4 is specifically for social exclusion and rejection. Related codes cover problems of adjustment to life-cycle transitions (Z60.0), problems related to living alone (Z60.2), Acculturation difficulty (Z60.3), target of (perceived) adverse discrimination and persecution (Z60.5), other problems related to social environment (Z60.8) and problem related to social environment, unspecified (Z60.9).
Don't report Z60.4 together with the conditions in its Excludes1 note: target of adverse discrimination such as for racial or religious reasons (Z60.5).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
Don't confuse with (Excludes1 for Z60.4)
- target of adverse discrimination such as for racial or religious reasons (Z60.5)
Common questions about social isolation ICD-10 codes
What is the ICD-10 code for social isolation?
- Z60.4 — Social exclusion and rejection.
Is Z60.4 billable?
- Yes. Z60.4 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can Z60.4 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 Z60.4 a CC or MCC?
- No. Z60.4 is neither a CC nor an MCC under MS-DRG v44.0.