ICD-10-CM Code Z59.3
Problems related to living in residential institution

BILLABLE

Billable Code

Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.

POA Exempt

POA Exempt Code

The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.

Mental Health

Mental Health Code

Indicates that the ICD code is referenced in DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Version 5)

| ICD-10 from 2011 - 2016

Z59.3 is a billable ICD code used to specify a diagnosis of problems related to living in residential institution. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

Indicator	Meaning	CMS Will Pay CC/MCC DRG Costs
Y	Diagnosis was present at time of inpatient admission	Yes
N	Diagnosis was not present at time of inpatient admission	No
U	Documentation insufficient to determine if the condition was present at the time of inpatient admission.	No
W	Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.	Yes
1	Exempt from POA reporting	No

Coding Notes for Z59.3 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms: Inclusion Terms Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.: Boarding-school resident

Code Type-1 Excludes: Type-1 Excludes Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here.": Institutional upbringing - instead, use code Z62.2

MS-DRG Mapping

DRG Group #951 - Other factors influencing health status.

ICD-10-CM Alphabetical Index References for 'Z59.3 - Problems related to living in residential institution'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z59.3. Click on any term below to browse the alphabetical index.

Person(with) +

Counseling(for) +

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

V60.6

Person living in residential institution (exact match)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code V60.6 was previously used, Z59.3 is the appropriate modern ICD10 code.

Parent Code: Z59 - Problems related to housing and economic circumstances

Code Navigator: ICD

ICD-10-CM Code Z59.3 Problems related to living in residential institution