Z59.3
Z59.3: Problems related to living in residential institution
Billable / specific codeICD-10-CMPOA exempt
Z59.3 is a billable, specific ICD-10-CM code for problems related to living in residential institution. It is valid for submission on a claim.
Check Z59.3 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- institutional upbringing (Z62.22)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Boarding-school resident
Other codes that can never be billed with Z59.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z62.2Upbringing away from parents
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Counseling›medical›boarding school resident
- Counseling›medical›institutional resident
- Person›living›boarding school
- Person›living›residential institution
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Z59
- Z59.0Homelessness
- Z59.1Inadequate housing
- Z59.2Discord with neighbors, lodgers and landlord
- Z59.4Lack of adequate food
- Z59.5Extreme poverty
- Z59.6Low income
- Z59.7Insufficient social insurance and welfare support
- Z59.8Other problems related to housing and economic circumstances
- Z59.9Problem related to housing and economic circumstances, unspecified