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Z75.3

Billable

Unavailability and inaccessibility of health-care facilities

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

What This Code Means

A person cannot access or reach healthcare facilities due to geographic, transportation, or availability barriers.

Coding Tips

  • Document the specific barrier (e.g., distance, no transportation, facility closed, no available appointments)
  • This code identifies social determinants of health affecting healthcare access

Excludes 1 — Do NOT code together

Code Hierarchy

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