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Z63.5

Z63.5: Disruption of family by separation and divorce

Billable / specific codeICD-10-CMPOA exempt

Z63.5 is a billable, specific ICD-10-CM code for disruption of family by separation and divorce. It is valid for submission on a claim.

Check Z63.5 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Marital estrangement

Excludes2 inherited from the categories above Z63.5

Not part of this code, but both may be coded when both are present.

Written on Z63: Other problems related to primary support group, including family circumstances

  • maltreatment syndrome (T74.-, T76)
  • parent-child problems (Z62.-)
  • problems related to negative life events in childhood (Z62.-)
  • problems related to upbringing (Z62.-)

Other codes that can never be billed with Z63.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • Z63.3Absence of family member

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

  • Divorce, causing family disruption
  • Estrangement(marital)
  • Conjugal maladjustment›involving divorce or estrangement
  • Incompatibility›divorce or estrangement
  • Conflict›marital›involving divorce or estrangement
  • Family, familial›disruption›involving divorce or separation
  • Maladjustment›conjugal›involving divorce or estrangement
  • Maladjustment›marital›involving divorce or estrangement
  • Disruption›family›due to›divorce or separation
  • Problem›marital›involving›divorce
  • Problem›marital›involving›estrangement

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z63

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.