Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behavior.
Social isolation
Excludes1 (never code together)
target of adverse discrimination such as for racial or religious reasons (Z60.5)
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 Z60.4
Back-references to Z60.4
Type 1 Excludes: Z60.5 Target of (perceived) adverse discrimination and persecution ("social exclusion and rejection (Z60.4)")
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 Z60.4
Deprivation › social
Isolation, isolated › social
Maladjustment › social › due to › exclusion and isolation
Maladjustment › social › due to › rejection
Problem (with) (related to) › social › exclusion and rejection