MCMCB Pro
Z64

Z64Problems related to certain psychosocial circumstances

Non-billable headerICD-10-CM

Z64 is a non-billable header ICD-10-CM code for problems related to certain psychosocial circumstances. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

Z64 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead Z64

3 child codes. Green means billable.

Questions about Z64

Is Z64 a billable ICD-10-CM code?
No. Z64 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Z64 sit in the tabular list?
Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65).
ICD-10-CMFY2026-Apr· effective April 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.