ICD-10-CM Z60.4 is the diagnosis code for Social exclusion and rejection. This code falls under the section "Persons with potential health hazards related to socioeconomic and psychosocial circumstances" within Chapter 21 — Factors influencing health status and contact with health services (Z00-Z99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as Z60.4. They are mutually exclusive:
Understanding where Z60.4 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, Z60.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Z60.4 is the ICD-10-CM diagnosis code for "Social exclusion and rejection". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of Z60.4 is Z60 ("Problems related to social environment"). Z60.4 provides a more specific classification within this category.
Z60.4 is located in Section Z55-Z65 — "Persons with potential health hazards related to socioeconomic and psychosocial circumstances" within Chapter 21 of the ICD-10-CM Tabular List.
Use Z60.4 when the patients documented diagnosis matches "Social exclusion and rejection" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Social exclusion and rejection is Z60.4.
Yes, Z60.4 can be used as a primary diagnosis code since it is billable and specific.
Z60.4 is in Chapter 21 of the ICD-10-CM Tabular List.
Type 1 Excludes for Z60.4 include: target of adverse discrimination such as for racial or religious reasons (Z60.5).
Yes, Z60.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.