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Z codes are a subset of ICD-10-CM codes, used as reason codes to capture “factors that influence health status and contact with health services.” They apply to all health care settings and must be accompanied by any performed procedure codes
This study represents the first analysis of Medicare FFS claims data for the utilization of Z codes. It identified 467,136 unique Medicare FFS beneficiaries with Z code claims in 2017, representing only 1.4 percent of the total FFS population. Among the claims identified, the five most utilized Z codes (Figure 1) are homelessness, problems related to living alone, disappearance and death of family member, other specified problems related to psychosocial circumstances, and problems in relationship with spouse or partner.
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