Z60.5 Target of (perceived) adverse discrimination and persecution

Billable ICD-10-CM code, FY2026.

Excludes1 (never code together)

• social exclusion and rejection (Z60.4)

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 Z60.5

Back-references to Z60.5

• Type 1 Excludes: Z60.4 Social exclusion and rejection ("target of adverse discrimination such as for racial or religious reasons (Z60.5)")
• Type 1 Excludes: Z65.5 Exposure to disaster, war and other hostilities ("target of perceived discrimination or persecution (Z60.5)")

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 Z60.5

• Discrimination › ethnic
• Discrimination › political
• Discrimination › racial
• Discrimination › religious
• Discrimination › sex
• Exposure (to) › discrimination
• Exposure (to) › persecution
• Maladjustment › social › due to › discrimination and persecution (perceived)
• Persecution › social
• Social › exclusion › due to discrimination or persecution (perceived)
• Social › rejection › due to discrimination or persecution

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
• Z60.4 Social exclusion and rejection
• Z60.5 Target of (perceived) adverse discrimination and persecution (this code)
• Z60.8 Other problems related to social environment
• Z60.9 Problem related to social environment, unspecified