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Z59.1 Non-Billable Code

Inadequate housing

Effective From: 10/01/2016
Effective To: 03/31/2023
⚠️

This Code Has Been Retired

Code Z59.1 is no longer valid for claims submission as of 03/31/2023.

Chapter Classification

Chapter 21 Factors influencing health status and contact with health services (Z00-Z99)

Section Detail

Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)

Code Hierarchy

This code is a child of Z59.

As a non-billable code, it requires more specific digits to be used on a medical claim.

Coding Guidelines & Notes

excludes2
  • problems related to the natural and physical environment (Z77.1-)

More Specific Diagnosis Codes

This code is not billable as it requires a higher level of specificity. Select a more specific code below.

  • Z59.10 - Inadequate housing, unspecified Billable
  • Z59.11 - Inadequate housing environmental temperature Billable
  • Z59.12 - Inadequate housing utilities Billable
  • Z59.19 - Other inadequate housing Billable

OPPS Editing Flags

External Cause No
Mental Health Yes
Manifestation (Edit 89) No
Code First Applicable ?This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis. No
Unacceptable PDX (Edit 113) Yes
PDX Exclusion Logic
  • OPPS Required: Yes
  • Bill Type Override: No

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