Social Determinants of Health (SDOH)

Consistent and reliable collection of SDOH data is vital to identify ways to support our members. There are several health-related social factors that can be improved through the analysis of the member characteristics, health, social, and risk needs. Our providers are key to identify the health disparities, and their root causes, that are negatively impacting our members’ health.

Providers should include the following SDOH codes in their billing practices so that CenCal Health can better identify members needs and find solutions to help them thrive and achieve optimal health.

The  Department of Health Care Services (DHCS) issued a list of comprehensive SDOH codes to maximize the capture of actionable information. Please click on the following dropdowns to view these codes which allow CenCal Health to better track our members’ needs and find solutions to help them thrive.

Problems related to education & literacy (8)

Code

Problems related to education and literacy (8)

Z55.0

Illiteracy and low-level literacy

Z55.1

Schooling unavailable and unattainable

Z55.2

Failed school examinations

Z55.3

Underachievement in school

Z55.4

Educational maladjustment and discord with teachers and classmates

Z55.5

Less than a high school diploma

Z55.8

Other problems related to education and literacy

Z55.9

Problems related to education and literacy, unspecified

Problems related to employment and unemployment (11)

Code

Problems related to employment and unemployment (11)

Z56.0

Unemployment, unspecified

Z56.1

Change of job

Z56.2

Threat of job loss

Z56.3

Stressful work schedule

Z56.4

Discord with boss and workmates

Z56.5

Uncongenial work environment

Z56.6

Other physical and mental strain related to work

Z56.81

Sexual harassment on the job

Z56.82

Military deployment status

Z56.89

Other problems related to employment

Z56.9

Unspecified problems related to employment

Occupational exposure to risk factors (11)

 

Code

Occupational exposure to risk factors (11)

Z57.0

Occupational exposure to noise

Z57.1

Occupational exposure to radiation

Z57.2

Occupational exposure to dust

Z57.31

Occupational exposure to environmental tobacco smoke

Z57.39

Occupational exposure to other air contaminants

Z57.4

Occupational exposure to toxic agents in agriculture

Z57.5

Occupational exposure to toxic agents in other industries

Z57.6

Occupational exposure to extreme temperature

Z57.7

Occupational exposure to vibration

Z57.8

Occupational exposure to other risk factors

Z57.9

Occupational exposure to unspecified risk factor

Problems related to housing and economics circumstances (17)

Code

Problems related to housing and economic circumstances (17)

Z58.6

Inadequate drinking-water supply

Z59.00

Homelessness unspecified

Z59.01

Sheltered homelessness

Z59.02

Unsheltered homelessness

Z59.1

Inadequate housing (lack of heating/space, unsatisfactory surroundings)

Z59.2

Discord with neighbors, lodgers, and landlord

Z59.3

Problems related to living in residential institution

Z59.41

Food insecurity

Z59.48

Other specified lack of adequate food

Z59.5

Extreme poverty

Z59.6

Low income

Z59.7

Insufficient social insurance and welfare support

Z59.811

Housing instability, housed, with risk of homelessness

Z59.812

Housing instability, housed, homelessness in past 12 months

Z59.819

Housing instability, housed unspecified

Z59.89

Other problems related to housing and economic circumstances

Z59.9

Problem related to housing and economic circumstances, unspecified

Problems related to social environment (7)

Code

Problems related to social environment (7)

Z60.0

Problems of adjustment to life transitions (life phase, retirement)

Z60.2

Problems related to living alone

Z60.3

Acculturation difficulty (migration, social transplantation)

Z60.4

Social exclusion and rejection (physical appearance, illness, behavior)

Z60.5

Target of (perceived) adverse discrimination and persecution

Z60.8

Other problems related to social environment

Z60.9

Problem related to social environment, unspecified

 

Problems related to upbringing (19)

Code

Problems related to upbringing (19)

Z62.0

Inadequate parental supervision and control

Z62.1

Parental overprotection

Z62.21

Child in welfare custody (non-parental family member, foster care)

Z62.22

Institutional upbringing (orphanage or group home)

Z62.29

Other upbringing away from parents

Z62.3

Hostility towards and scapegoating of child

Z62.6

Inappropriate (excessive) parental pressure

Z62.810

Personal history of physical and sexual abuse in childhood

Z62.811

Personal history of psychological abuse in childhood

Z62.812

Personal history of neglect in childhood

Z62.813

Personal history of forced labor or sexual exploitation in childhood

Z62.819

Personal history of unspecified abuse in childhood

Z62.820

Parent-biological child conflict

Z62.821

Parent-adopted child conflict

Z62.822

Parent-foster child conflict

Z62.890

Parent-child estrangement NEC

Z62.891

Sibling rivalry

Z62.898

Other specified problems related to upbringing

Z62.9

Problem related to upbringing, unspecified

Other problems related to primary support group, including family circumstances (12)

Code

Other problems related to primary support group, including family circumstances (12)

Z63.0

Problems in relationship with spouse or partner

Z63.1

Problems in relationship with in-laws

Z63.31

Absence of family member due to military deployment

Z63.32

Other absence of family member

Z63.4

Disappearance/death of family member (assumed death, bereavement)

Z63.5

Disruption of family by separation and divorce (marital estrangement)

Z63.6

Dependent relative needing care at home

Z63.71

Stress on family due to return of family from military deployment

Z63.72

Alcoholism and drug addiction in family

Z63.79

Other stressful events affecting family/household (ill/disturbed member)

Z63.8

Other specified problems related to primary support group (discord or estrangement, inadequate support)

Z63.9

Problem related to primary support group, unspecified


Problems related to psychosocial circumstances (3)

Code

Problems related to psychosocial circumstances (3)

Z64.0

Problems related to unwanted pregnancy

Z64.1

Problems related to multiparity

Z64.4

Discord with counselors

Problems related to other psychosocial circumstances (8)

Code

Problems related to other psychosocial circumstances (8)

Z65.0

Conviction in civil and criminal proceedings without imprisonment

Z65.1

Imprisonment and other incarceration

Z65.2

Problems related to release from prison

Z65.3

Problems related to other legal circumstances (arrest, custody, litigation)

Z65.4

Victim of crime and terrorism

Z65.5

Exposure to disaster, war, and other hostilities

Z65.8

Other specified problems related to psychosocial circumstances (religious or spiritual problem)

Z65.9

Problem related to unspecified psychosocial circumstances