2025 ICD-10-CM code Z59.01
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65) Factors influencing health status and contact with health services (Z00-Z99) Feed
Sheltered homelessness; doubled up; living in a shelter (e.g., motel, temporary housing).
Modifiers are not applicable to ICD-10 codes.
Medical necessity for services related to this code is established by the presence of the underlying social determinant of health (lack of stable housing). The need for services will be based on a comprehensive assessment of the patient's individual situation and requirements.
The clinical responsibility for a patient with this code will depend on their overall health status and needs. This could include physicians, social workers, case managers, and other healthcare professionals.
- Factors influencing health status and contact with health services (Z00-Z99)
- Z59.01 falls under the broader category of Z59, which encompasses homelessness.
In simple words: This code is used for people who don't have a permanent home and are living in a temporary place like a shelter or with others because they can't afford their own place.
This code classifies individuals experiencing sheltered homelessness.This includes situations where individuals are doubled up with others due to lack of housing or reside in temporary or transitional living situations such as motels or shelters.
Example 1: A 30-year-old male presents to the emergency department following a sudden loss of housing. He is currently staying in a temporary shelter and requires assessment for his physical and mental health needs., A family of four is referred to a social services agency because they are living doubled up with relatives due to financial hardship. They require assistance with housing placement, financial counseling, and other supportive services., A 25-year-old female recently released from prison is living in a transitional housing program. She needs help accessing healthcare, finding employment, and establishing a support system.
Documentation should include details on the patient's living situation, the reason for their homelessness, and any related social, economic, or health concerns.Assessment of their mental and physical health needs should also be documented.
** This code is for use when the encounter is primarily focused on the patient's homelessness and not necessarily for the treatment of any specific disease or condition.If the patient is seeking care for a specific illness or injury, the corresponding disease or injury code should also be documented.
- Revenue Code: Revenue codes will vary depending on the specific services rendered.Appropriate revenue codes should be selected based on the payer's guidelines and the nature of the services provided.
- RVU: RVUs are not applicable to ICD-10 codes.Reimbursement for services related to this diagnosis will depend on the specific procedures and services provided and the payer's fee schedule.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Social work, case management, primary care, emergency medicine, psychiatry
- Place of Service:Emergency Room - Hospital, Office,Home, Homeless Shelter,Other Place of Service