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Z59.861BillableSave

Z59.861 - Financial insecurity, difficulty paying for utilities

ICD-10-CM Chapter 21: Factors influencing health status and contact with health services · Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65) · Subcategory of Z59.86 · FY2027

Applicable To

Inclusion terms listed under Z59.861 in the ICD-10-CM tabular list.

  • Difficulty paying for electricity
  • Difficulty paying for heat
  • Difficulty paying for oil
  • Difficulty paying water bill
  • Utility disconnect notice due to inability to pay

Includes, Excludes and Coding Notes

Excludes 2 — Not Included HereFrom Z59.861

Not part of this code; report both codes when the patient has both conditions.

  • inadequate housing utilities (Z59.12)
Excludes 2 — Not Included HereFrom Z59.86

Not part of this code; report both codes when the patient has both conditions.

  • extreme poverty (Z59.5)
  • low income (Z59.6)
  • material hardship, not elsewhere classified (Z59.87)
Excludes 2 — Not Included HereFrom Z59

Not part of this code; report both codes when the patient has both conditions.

  • problems related to upbringing (Z62.-)
NotesFrom Chapter Z00-Z99

Instructional notes from the ICD-10-CM tabular list.

  • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
  • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
  • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with Z59.861.