Z60.5 vs Z65.5
Z60.5 (Target of (perceived) adverse discrimination and persecution) compared with Z65.5 (Exposure to disaster, war and other hostilities), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. Z65.5 carries an Excludes1 note covering Z60.5: “target of perceived discrimination or persecution (Z60.5)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| Z60.5Target of (perceived) adverse discrimination and persecution | Z65.5Exposure to disaster, war and other hostilities | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Target of (perceived) adverse discrimination and persecution is a billable ICD-10-CM diagnosis code (Z60.5). | Exposure to disaster, war and other hostilities is a billable ICD-10-CM diagnosis code (Z65.5). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources