Z62.22 Institutional upbringing

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

Applicable to

• Child living in group home
• Child living in orphanage

Code also

• , if applicable, child in welfare custody (Z62.21)

Applies from Z62 Problems related to upbringing

Includes

• current and past negative life events in childhood
• current and past problems of a child related to upbringing

Excludes2 (not included here)

• maltreatment syndrome (T74.-)
• problems related to housing and economic circumstances (Z59.-)

Applies from Z62.2 Upbringing away from parents

Excludes1 (never code together)

• problems with boarding school (Z59.3)

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• V61.06 Family disruption due to child in foster care or in care of non-parental family member (approximate)
• V61.8 Other specified family circumstances (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 Z62.22

Back-references to Z62.22

• Type 1 Excludes: Z59.3 Problems related to living in residential institution ("institutional upbringing (Z62.22)")

Back-references to Z62

• Type 2 Excludes: Z59 Problems related to housing and economic circumstances ("problems related to upbringing (Z62.-)")
• Type 2 Excludes: Z63 Other problems related to primary support group, including family circumstances ("parent-child problems (Z62.-)")
• Type 2 Excludes: Z63 Other problems related to primary support group, including family circumstances ("problems related to negative life events in childhood (Z62.-)")
• Type 2 Excludes: Z63 Other problems related to primary support group, including family circumstances ("problems related to upbringing (Z62.-)")
• 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 Z62.22

• Institutionalization, affecting child
• Problem (with) (related to) › child › living in › group home
• Problem (with) (related to) › child › living in › orphanage
• Problem (with) (related to) › institutionalization, affecting child
• Upbringing, institutional
• Upbringing, institutional › in orphanage or group home

Nearby codes

• Z62 Problems related to upbringing
• Z62.0 Inadequate parental supervision and control
• Z62.1 Parental overprotection
• Z62.2 Upbringing away from parents
• Z62.21 Child in welfare custody
• Z62.22 Institutional upbringing (this code)
• Z62.23 Child in custody of non-parental relative
• Z62.24 Child in custody of non-relative guardian
• Z62.29 Other upbringing away from parents
• Z62.3 Hostility towards and scapegoating of child
• Z62.6 Inappropriate (excessive) parental pressure