ICD-10 code for social maladjustment

The ICD-10-CM code for social maladjustment is Z60.9 (Problem related to social environment, unspecified). The official index lists 6 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on Z60.9.

Within Z60, choose Z60.9 (Problem related to social environment, unspecified) only when documentation doesn't support a more specific option: problems of adjustment to life-cycle transitions (Z60.0), problems related to living alone (Z60.2), Acculturation difficulty (Z60.3), social exclusion and rejection (Z60.4), target of (perceived) adverse discrimination and persecution (Z60.5) and other problems related to social environment (Z60.8).

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.