Z59.3 Problems related to living in residential institution

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applicable to

• Boarding-school resident

Excludes1 (never code together)

• institutional upbringing (Z62.22)

Applies from Z59 Problems related to housing and economic circumstances

Excludes2 (not included here)

• problems related to upbringing (Z62.-)

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V60.6 Person living in residential institution

Medicare Code Edits (MCE v43.1 (April 2026))

• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to Z59.3

Back-references to Z59.3

• Type 1 Excludes: Z62.2 Upbringing away from parents ("problems with boarding school (Z59.3)")

Back-references to Z59

• Type 2 Excludes: Z56 Problems related to employment and unemployment ("problems related to housing and economic circumstances (Z59.-)")
• Type 2 Excludes: Z62 Problems related to upbringing ("problems related to housing and economic circumstances (Z59.-)")
• Type 2 Excludes: Z72 Problems related to lifestyle ("problems related to socioeconomic and psychosocial circumstances (Z55-Z65)")
• Type 2 Excludes: Z73 Problems related to life management difficulty ("problems related to socioeconomic and psychosocial circumstances (Z55-Z65)")

Diagnosis Index entries for Z59.3

• Counseling (for) › medical (for) › boarding school resident
• Counseling (for) › medical (for) › institutional resident
• Person (with) › living (in) › boarding school
• Person (with) › living (in) › residential institution

Nearby codes

• Z59.10 Inadequate housing, unspecified
• Z59.11 Inadequate housing environmental temperature
• Z59.12 Inadequate housing utilities
• Z59.19 Other inadequate housing
• Z59.2 Discord with neighbors, lodgers and landlord
• Z59.3 Problems related to living in residential institution (this code)
• Z59.4 Lack of adequate food
• Z59.41 Food insecurity
• Z59.48 Other specified lack of adequate food
• Z59.5 Extreme poverty
• Z59.6 Low income