Z60.4
Billable codeSocial exclusion and rejection
The ICD-10 code for social exclusion and rejection is Z60.4.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- target of adverse discrimination such as for racial or religious reasons (Z60.5)
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behavior.
- Social isolation
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- Z60.0Problems of adjustment to life-cycle transitions
- Z60.2Problems related to living alone
- Z60.3Acculturation difficulty
- Z60.5Target of (perceived) adverse discrimination and persecution
- Z60.8Other problems related to social environment
- Z60.9Problem related to social environment, unspecified
- Z60.4Social exclusion and rejection
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- V624Approximate match
Associated MS-DRGs
Z60.4 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.