Z60.5 vs Z65.5
Z60.5 and Z65.5 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on Z65.5
target of perceived discrimination or persecution (Z60.5)
Z60.5
Target of (perceived) adverse discrimination and persecution
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z55-Z65
Indexed under
- Discrimination › ethnic
- Discrimination › political
- Discrimination › racial
- Discrimination › religious
- Discrimination › sex
Z65.5
Exposure to disaster, war and other hostilities
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z55-Z65
Indexed under
- Exposure › disaster (to)
- Exposure › war (to)
- Victim › disaster (of)
- Victim › war (of)
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027