2025 ICD-10-CM code Z65.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Psychosocial - Problems related to other psychosocial circumstances Chapter 21: Factors influencing health status and contact with health services Feed
Other specified problems related to psychosocial circumstances; examples include loneliness, religious or spiritual problems.
Modifiers are not applicable to ICD-10 codes.
Medical necessity is established by demonstrating that the patient's psychosocial concerns are significantly impacting their overall health and well-being and require clinical intervention.This may be evidenced by symptoms such as anxiety, depression, or functional impairment.
The clinical responsibility involves assessment and management of the patient's psychosocial concerns, potentially including counseling, referral to mental health services, and development of a supportive care plan.The extent of clinical responsibility depends on the specific problem and the patient's needs.
- Chapter 21: Factors influencing health status and contact with health services
- Z65 - Problems related to other psychosocial circumstances
In simple words: This code is used when someone has problems related to their feelings, thoughts, or social life that aren't easily described by other medical codes. This might include feeling lonely, struggling with their beliefs, or having trouble adjusting to life changes.
This ICD-10-CM code classifies a variety of unspecified psychosocial problems not otherwise categorized.It encompasses situations where a patient presents with concerns related to their psychosocial well-being that don't fit neatly into other, more specific ICD-10-CM codes. Examples might include feelings of loneliness, difficulties coping with religious or spiritual issues, or other challenges related to social adaptation or emotional adjustment.It's crucial to document the specific psychosocial problem to enhance clinical accuracy and proper billing practices.
Example 1: A patient presents to their primary care physician expressing feelings of profound loneliness and isolation following the loss of a spouse.The physician provides counseling, assesses for depression, and refers the patient to a support group., A patient reports significant distress related to a recent crisis of faith.The physician discusses the patient's concerns, provides resources for spiritual counseling, and monitors the patient for signs of depression or anxiety., An individual struggling with social anxiety presents to therapy for support. The therapist provides counseling to address underlying psychosocial needs, facilitating adaptation to social situations.
Detailed documentation of the patient's psychosocial concerns, including the nature of the problem, its impact on the patient's life, the patient's coping mechanisms, and the physician's assessment and plan of care.Referrals and the types of interventions provided should be well-documented.
** This code is often used as a secondary diagnosis.It's crucial to document the specific psychosocial issues to support the code's use and ensure appropriate reimbursement.
- Revenue Code: Revenue codes will vary depending on the specific service provided and the payer.
- RVU: RVUs are not applicable to ICD-10 codes.RVUs are associated with CPT codes and reflect the relative value of a service based on its complexity.
- 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:Primary care, psychiatry, psychology, social work
- Place of Service:Office, outpatient clinic, hospital, telehealth