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Z59.86 Non-Billable Code

Financial insecurity

Effective From: 10/01/2022
Effective To: 09/30/2025
⚠️

This Code Has Been Retired

Code Z59.86 is no longer valid for claims submission as of 09/30/2025.

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 Z59.8.

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

Coding Guidelines & Notes

excludes2
  • extreme poverty (Z59.5)
  • low income (Z59.6)
  • material hardship, not elsewhere classified (Z59.87)

More Specific Diagnosis Codes

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

  • Z59.861 - Financial insecurity, difficulty paying for utilities Billable
  • Z59.868 - Other specified financial insecurity Billable
  • Z59.869 - Financial insecurity, unspecified Billable

OPPS Editing Flags

External Cause No
Mental Health No
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: No
  • Bill Type Override: No

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