Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.
Applicable to
Discord with probation officer
Discord with social worker
MS-DRG index
Defines the logic of DRG(s) 951 in MDC 23.
Approximate ICD-9-CM (GEMs)
V62.89 Other psychological or physical stress, not elsewhere classified (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 Z64.4
Back-references to Z64
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 Z64.4
Discord (with) › counselor
Discord (with) › probation officer
Discord (with) › social worker
Problem (with) (related to) › conflict or discord (with) › counselor
Problem (with) (related to) › conflict or discord (with) › probation officer
Problem (with) (related to) › conflict or discord (with) › social worker
Problem (with) (related to) › counselor
Problem (with) (related to) › probation officer
Problem (with) (related to) › social › worker
Nearby codes
Z64 Problems related to certain psychosocial circumstances