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06/2019: 2019 Social Determinants of Health ICD-10 Codes

As a care provider, you play an important role in helping identify members who may have a social determinant of health that creates a barrier to health and wellness.

Social determinants of health are the conditions in which people are born, grow, live, work and age. They include factors like:

  • Access to health care and healthy food
  • Education circumstances
  • Employment and socioeconomic status
  • Physical environment
  • Social support networks
  • Foster care

If you’re providing services to a UnitedHealthcare member and observe a social determinant of health that has an ICD‑10 code, please include the code(s) on claims you submit.

ICD-10 Codes to Identify SDOH*

ICD-10 Codes

  • Z77.010 Contact with and suspected exposure to arsenic
  • Z77.011 Contact with and suspected exposure to lead
  • Z77.090 Contact with and suspected exposure to asbestos

ICD-10 Codes

  • Z55.0 Illiteracy and low level literacy
  • Z55.1 Schooling unavailable and unattainable
  • Z55.2 Failed school examinations
  • Z55.3 Underachievement in school
  • Z55.4 Education maladjustment and discord with teachers and classmates
  • Z55.8 Other problems related to education and literacy
  • Z55.9 Problems related to education and literacy, unspecified

ICD-10 Codes

  • Z56.0 Unemployment, unspecified
  • Z56.1 Change of job
  • Z56.2 Threat of job loss
  • Z56.4 Discord with boss and workmates
  • Z56.89 Other problems related to employment
  • Z56.9 Unspecified problems related to employment

ICD-10 Codes

  • Z62.822 Parent-foster child conflict
  • Z62.21 Child in welfare custody

ICD-10 Codes

  • Z59.0 Homelessness
  • Z59.1 Inadequate housing
  • Z59.2 Discord with neighbors, lodgers and landlord
  • Z59.8 Other problems related to housing and economic circumstances
  • Z60.2 Problems related to living alone

ICD-10 Codes

  • Z59.4 Lack of adequate food and safe drinking water
  • Z59.5 Extreme poverty
  • Z59.6 Low income
  • Z59.7 Insufficient social insurance and welfare support
  • Z59.8 Other problems related to housing and economic circumstances
  • Z59.9 Problems related to housing and economic circumstances, unspecified
  • Z75.3 Unavailability and inaccessibility of health care facilities
  • Z75.4 Unavailability and inaccessibility of other helping agencies

ICD-10 Codes

  • Z65.0 Conviction in civil and criminal proceedings without imprisonment
  • Z65.1 Imprisonment and other incarceration
  • Z65.2 Problems related to release from prison

ICD-10 Codes

  • Z60.4 Social exclusion and rejection
  • Z60.8 Other problems related to social environment
  • Z60.9 Problems related to social environment, unspecified
  • Z71.3 Dietary counseling and surveillance
  • Z71.6 Tobacco abuse counseling
  • Z71.82 Exercise counseling
  • Z71.89 Other specified counseling
  • Z71.9 Counseling, unspecified
  • Z72.0 Tobacco use
  • Z72.4 Inappropriate diet and eating habits
  • Z91.82 Personal history of military deployment

ICD-10 Codes

  • Z62.810 Personal history of physical and sexual abuse in childhood
  • Z62.820 Parent-biological child conflict
  • Z63.4 Disappearance and death of family member
  • Z63.8 Other specified problems related to primary support Group

* These are supplemental diagnosis codes and should not be used as the admitting or principal diagnosis code to indicate the medical reason for the visit.

We know these codes don’t address all social factors that affect health and wellness. To strengthen our ability to work together with you to help more people, UnitedHealthcare has made a recommendation to expand the ICD-10 codes to be more comprehensive. For now please use the established codes, which provide an opportunity for us to collect, understand and address some of your patients’ SDOH. If you have questions, please contact your Provider Advocate.