Z60.4
Billable

Social exclusion and rejection

Billable / Specific Code

What is Social exclusion and rejection?

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.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for Z60.4

✅ This Code Includes

  • Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behavior.
  • Social isolation

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as Z60.4. They are mutually exclusive:

  • target of adverse discrimination such as for racial or religious reasons (Z60.5)

ICD-10-CM Code Hierarchy

Understanding where Z60.4 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is Z60.4 a billable ICD-10-CM code?

Yes, Z60.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does Z60.4 mean?

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.

What is the parent code of Z60.4?

The parent code of Z60.4 is Z60 ("Problems related to social environment"). Z60.4 provides a more specific classification within this category.

What section is Z60.4 in?

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.

When should I use Z60.4?

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.

People Also Ask

What is the ICD-10 code for Social exclusion and rejection?

The ICD-10-CM code for Social exclusion and rejection is Z60.4.

Can Z60.4 be used for primary diagnosis?

Yes, Z60.4 can be used as a primary diagnosis code since it is billable and specific.

What chapter is Z60.4 in?

Z60.4 is in Chapter 21 of the ICD-10-CM Tabular List.

What conditions are excluded from Z60.4?

Type 1 Excludes for Z60.4 include: target of adverse discrimination such as for racial or religious reasons (Z60.5).

Is Z60.4 valid for 2026?

Yes, Z60.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousZ60.3Acculturation difficultyNext →Z60.5Target of (perceived) adverse discrimination and persecution
Code Details
Z60.4
Social exclusion and rejection
Billable / Specific Code
21 — Factors influencing health status and contact with health services (Z00-Z99)
Z55-Z65 — Persons with potential health hazards related to socioeconomic and psychosocial circumstances
2026 ICD-10-CM