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Z59.3

Billable

Problems related to living in residential institution

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A person is experiencing problems or difficulties related to living in a residential institution such as a nursing home, group home, or assisted living facility.

Coding Tips

  • Specify the type of institution and the nature of the problem when possible
  • Use when institutional living conditions or relationships are affecting the patient's health or care

Excludes 1 — Do NOT code together

  • institutional upbringing (Z62.22)

Code Hierarchy

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