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Foster care status ICD-10-CM Z62.21 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 951 Other factors influencing health status Convert Z62.21 to ICD-9-CM
2018/2019 ICD-10-CM Diagnosis Code Z76.2. Encounter for health supervision and care of other healthy infant and child. Z76.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Child in welfare custody 2016 2017 2018 2019 2020 2021 Billable/Specific Code Pediatric Dx (0-17 years) Z62.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z62.21 became effective on October 1, 2020.
This is the American ICD-10-CM version of Z76.2 - other international versions of ICD-10 Z76.2 may differ. Z76.2 is applicable to pediatric patients aged 0 - 17 years inclusive. Encounter for medical or nursing care or supervision of healthy infant under circumstances such as adverse socioeconomic conditions at home
The primary care clinician and the medical home may provide one of the most stable adult influences in the life of a foster child. According to the American Academy of Pediatrics (AAP), the medical home serves as the focal point for the reduction of toxic stress and for the support of child and family resiliency. The medical home offers safety, access to resources, and continuous care for a child who has experienced trauma – Healthy Foster Care America (AAP).
Children in foster care may manifest a number of disorders that could both contribute to, and result from, the experiences that led to them being in foster care: Attachment disorder. Post-traumatic stress disorder (PTSD) Depression, anxiety, and other mood disorders.
One study found that adolescents who “age out” of the foster care system suffer serious lasting consequences: 1 in 4 will be incarcerated within 2 years of leaving foster care; 1 in 5 will become homeless sometime after age 18 years; and only 58% will graduate from high school (compared to the 87% national average).
Traumatized children may have problems with self-regulation (sleep disturbances, eating problems, or toileting problems), and have symptoms of depression, anxiety, ADHD, aggression, self-injury, and anger that persist long after the child has been removed from the abusive or neglectful environment. In addition, despite the traumatic experienced there, children may develop symptoms related to separation from their home and other familiar environments – many children report this as the most traumatic aspect of entering foster care. Physicians can assist caregivers by helping them identify altered responses, formulate effective coping strategies, and mobilize available community resources. [ Stirling: 2008]
Because many young children entering foster care come from settings in which substance abuse and sexual promiscuity are common, they should be considered to be at high risk for HIV infection, hepatitis, and other sexually transmitted infections.
While some symptoms improve with set routines in a predictable home, a number of children struggle to engage in trauma-focused mental health treatment because of inattention, impulsivity, and hyperactivity.
Primary care clinicians can collaborate with child welfare agencies to improve the physical and mental health of children in foster care and can engage families of origin and the foster families as a way to minimize the trauma of separation, identify health care needs, and initiate treatment.
Encounter for examination and observation for other specified reasons 1 Z04.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Encounter for examination and observation for oth reasons 3 The 2021 edition of ICD-10-CM Z04.89 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of Z04.89 - other international versions of ICD-10 Z04.89 may differ.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways: