Adoption of Social Determinants of Health ‘Z Codes’ Is Limited, Study Shows
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May 16, 2025
Commercial health plans’ use of “Z codes” to help track and understand enrollees’ social determinants of health (SDOH) has been sparse, according to a recent Health Affairs study. However, use of those codes doubled from 2016 to 2022.
To document data on SDOH and health-related social needs, the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10), introduced Z codes in 2015. The codes are used to report “factors influencing health status or reasons for contact with health services that are not classifiable elsewhere as diseases, injuries, or external causes,” according to a CMS file.
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