Document Psychosocial Needs
If you are working with the social work team or case managers regarding a patient, please document the additional social drivers of health which impact their care – add them to the visit diagnoses and problem list. The following list can serve as a guide:
| Code | Notes |
| Lack of Housing Z59.0 | also refers to unstable housing |
| Financial Difficulties Z59.8 and
Dependent for Transport Z74.8 |
e.g., transportation, clothing |
| Problems with Literacy Z55.0 | 1-question screen: “How confident are you filling out medical forms by yourself?” Screening for health literacy is also a PCMH (primary care medical home)
REQUIREMENT. |
| Lack of Adequate Food Z59.4 | |
| Adult Maltreatment T74.91XA | includes ONGOING adult physical, sexual, psychological abuse, and neglect (i.e., domestic
violence, elder abuse) |
| Cognitive Impairment 294.9 | including memory problems, not rising to level of
dementia |
| Ineffective Self Health Management
V49.89 |
|
| Underdosing of medications due to financial hardship Z91.120 | |
| History of Childhood Maltreatment
Z62.819 |
|
| Lives in a Group Home Z59.3 |
