Z60.3 Acculturation difficulty

Billable ICD-10-CM code, FY2026.

Applicable to

• Problem with migration
• Problem with social transplantation

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• V62.4 Social maladjustment (approximate)

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 Z60.3

Back-references to Z60

• 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 Z60.3

• Acculturation difficulty
• Cultural deprivation or shock
• Deprivation › cultural
• Difficult, difficulty (in) › acculturation
• Maladjustment › social › due to › acculturation difficulty
• Migration, anxiety concerning
• Problem (with) (related to) › acculturation
• Social › migrant › acculturation difficulty
• Social › transplantation
• Transplant (ed) (status) › social

Nearby codes

• Z60 Problems related to social environment
• Z60.0 Problems of adjustment to life-cycle transitions
• Z60.2 Problems related to living alone
• Z60.3 Acculturation difficulty (this code)
• Z60.4 Social exclusion and rejection
• Z60.5 Target of (perceived) adverse discrimination and persecution
• Z60.8 Other problems related to social environment
• Z60.9 Problem related to social environment, unspecified