Chapter XXI
Factors influencing health status and contact with health services
(Z00-Z99)

Rules Conventions GCS

Persons encountering health services in other circumstances
(Z70-Z76)

Z70 Counselling related to sexual attitude, behaviour and orientation
DCS.XXI.16

Excl.:
contraceptive or procreative counselling ( Z30-Z31)
Z70.0 Counselling related to sexual attitude
Incl.:
Person concerned regarding embarrassment, timidity or other negative response to sexual matters
Z70.1 Counselling related to patient's sexual behaviour and orientation
Incl.:
Patient concerned regarding:
  • impotence
  • non-responsiveness
  • promiscuity
  • sexual orientation
Z70.2 Counselling related to sexual behaviour and orientation of third party
Incl.:
Advice sought regarding sexual behaviour and orientation of:
  • child
  • partner
  • spouse
Z70.3 Counselling related to combined concerns regarding sexual attitude, behaviour and orientation
Z70.8 Other sex counselling
Incl.:
Sex education
Z70.9 Sex counselling, unspecified

Z71 Persons encountering health services for other counselling and medical advice, not elsewhere classified
DCS.XXI.16

Excl.:
contraceptive or procreation counselling ( Z30-Z31)
sex counselling ( Z70.-)
Z71.0 Person consulting on behalf of another person
Incl.:
Advice or treatment for non-attending third party
Excl.:
anxiety (normal) about sick person in family ( Z63.7)
Z71.1 Person with feared complaint in whom no diagnosis is made
Incl.:
Feared condition not demonstrated
Problem was normal state
"Worried well"
Excl.:
medical observation and evaluation for suspected diseases and conditions ( Z03.-)
Z71.2 Person consulting for explanation of investigation findings
Z71.3 Dietary counselling and surveillance
Incl.:
Dietary counselling and surveillance (for):
  • NOS
  • colitis
  • diabetes mellitus
  • food allergies or intolerance
  • gastritis
  • hypercholesterolaemia
  • obesity
Z71.4 Alcohol abuse counselling and surveillance
Excl.:
alcohol rehabilitation procedures ( Z50.2)
Z71.5 Drug abuse counselling and surveillance
Excl.:
drug rehabilitation procedures ( Z50.3)
Z71.6 Tobacco abuse counselling
Excl.:
tobacco rehabilitation procedures ( Z50.8)
Z71.7 Human immunodeficiency virus [HIV] counselling
Z71.8 Other specified counselling
Incl.:
Consanguinity counselling
Z71.9 Counselling, unspecified
Incl.:
Medical advice NOS

Z72 Problems related to lifestyle
DCS.XXI.16

Excl.:
problems related to:
  • life-management difficulty (Z73.-)
  • socioeconomic and psychosocial circumstances (Z55-Z65)
Z72.0 Tobacco use
DCS.V.7
Excl.:
tobacco dependence (F17.2)
Z72.1 Alcohol use
DCS.V.5
Excl.:
alcohol dependence (F10.2)
Z72.2 Drug use
Excl.:
abuse of non-dependence-producing substances ( F55)
drug dependence ( F11-F16, F19 with common fourth character .2)
Z72.3 Lack of physical exercise
Z72.4 Inappropriate diet and eating habits
Excl.:
behavioural eating disorders of infancy or childhood ( F98.2-F98.3)
eating disorders ( F50.-)
lack of adequate food ( Z59.4)
malnutrition and other nutritional deficiencies ( E40-E64)
Z72.5 High-risk sexual behaviour
Z72.6 Gambling and betting
Excl.:
compulsive or pathological gambling ( F63.0)
Z72.8 Other problems related to lifestyle
Incl.:
Self-damaging behaviour
Z72.9 Problem related to lifestyle, unspecified

Z73 Problems related to life-management difficulty
DCS.XXI.16

Excl.:
problems related to socioeconomic and psychosocial circumstances ( Z55-Z65)
Z73.0 Burn-out
Incl.:
State of vital exhaustion
Z73.1 Accentuation of personality traits
Incl.:
Type A behaviour pattern (characterized by unbridled ambition, a need for high achievement, impatience, competitiveness, and a sense of urgency)
Z73.2 Lack of relaxation and leisure
Z73.3 Stress, not elsewhere classified
Incl.:
Physical and mental strain NOS
Excl.:
related to employment or unemployment ( Z56.-)
Z73.4 Inadequate social skills, not elsewhere classified
Z73.5 Social role conflict, not elsewhere classified
Z73.6 Limitation of activities due to disability
Excl.:
care-provider dependency ( Z74.-)
Z73.8 Other problems related to life-management difficulty
Z73.9 Problem related to life-management difficulty, unspecified
DCS.XXI.17

Z74 Problems related to care-provider dependency
DCS.XXI.16 DCS.XXI.18

Excl.:
dependence on enabling machines or devices NEC ( Z99.-)
Z74.0 Need for assistance due to reduced mobility
Z74.1 Need for assistance with personal care
Z74.2 Need for assistance at home and no other household member able to render care
Z74.3 Need for continuous supervision
Z74.8 Other problems related to care-provider dependency
Z74.9 Problem related to care-provider dependency, unspecified

Z75 Problems related to medical facilities and other health care
DCS.XXI.16

Z75.0 Medical services not available in home
Excl.:
no other household member able to render care ( Z74.2)
Z75.1 Person awaiting admission to adequate facility elsewhere
DCS.XXI.19
Z75.2 Other waiting period for investigation and treatment
Z75.3 Unavailability and inaccessibility of health-care facilities
Excl.:
bed unavailable ( Z75.1)
Z75.4 Unavailability and inaccessibility of other helping agencies
Z75.5 Holiday relief care
DCS.XXI.20
Definition

Provision of health-care facilities to a person normally cared for at home, in order to enable relatives to take a vacation.

Incl.:
Respite care
Z75.8 Other problems related to medical facilities and other health care
Z75.9 Unspecified problem related to medical facilities and other health care

Z76 Persons encountering health services in other circumstances
DCS.XXI.16

Z76.0 Issue of repeat prescription
Incl.:
Issue of repeat prescription for:
  • appliance
  • medicaments
  • spectacles
Excl.:
issue of medical certificate ( Z02.7)
repeat prescription for contraceptive ( Z30.4)
Z76.1 Health supervision and care of foundling
Z76.2 Health supervision and care of other healthy infant and child
Incl.:
Medical or nursing care or supervision of healthy infant under circumstances such as:
  • adverse socioeconomic conditions at home
  • awaiting foster or adoptive placement
  • maternal illness
  • number of children at home preventing or interfering with normal care
Z76.3 Healthy person accompanying sick person
Z76.4 Other boarder in health-care facility
Excl.:
homelessness ( Z59.0)
Z76.5 Malingerer [conscious simulation]
Incl.:
Person feigning illness (with obvious motivation)
Excl.:
factitious disorder ( F68.1)
peregrinating patient ( F68.1)
Z76.8 Persons encountering health services in other specified circumstances
Z76.9 Person encountering health services in unspecified circumstances