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    v1.0.28
    OpenPayerBilling CodesPersons with potential health hazards related to family and personal history and certain conditions influencing health statusICD-10-CM z81-family-history-of-mental-disorders
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    ICD-10-CM Code For Family History Of Mental And Behavioral Disorders: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group Z81 includes codes used to indicate a documented family history of mental and behavioral disorders in blood relatives, such as mood, psychotic, or behavioral conditions that may affect patient risk. These ICD-10-CM diagnosis codes are used to document clinical scenarios where familial risk, genetic predisposition, or family psychiatric history is relevant to patient evaluation, prevention, or care planning. Accurate coding within the ICD-10-CM Z81 group supports complete clinical documentation and appropriate reimbursement.

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    ICD-10-CM Z81: Family History Of Mental And Behavioral Disorders Overview

    This group represents codes used to indicate a family history of mental and behavioral disorders, covering psychiatric and behavioral conditions present in blood relatives that may influence a patient’s health risk. The focus is on documenting hereditary or familial risk rather than an active patient diagnosis. Accurate coding matters for complete clinical documentation and can impact risk stratification and reimbursement determinations.

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    When to Use

    Use a code from this group when a documented family history of a mental or behavioral disorder in a blood relative is relevant to the patient’s care or risk profile. Do not use these codes to report the patient’s own active psychiatric diagnosis; use them to indicate the familial risk or background.

    ICD-10-CM Codes

    6 rows

    ICD-10-CM CodeDescription
    Z81.0Family history of intellectual disabilities
    Z81.1Family history of alcohol abuse and dependence
    Z81.2Family history of tobacco abuse and dependence
    Z81.3Family history of other psychoactive substance abuse and dependence
    Z81.4Family history of other substance abuse and dependence
    Z81.8Family history of other mental and behavioral disorders

    DRG Codes

    2 rows

    DRG CodeDescription
    795Normal Newborn
    951Other Factors Influencing Health Status

    Typical Clinical Scenarios

    • An adult patient presents to primary care for a comprehensive health maintenance visit and reports that their biological mother has a long-standing diagnosis of major depressive disorder and recurrent suicide attempts; the patient has no current psychiatric symptoms but requests counseling about risk and family history documentation. A code from this group is assigned to indicate the family history of a mental disorder that may influence screening and preventive care. Typical codes: Z81.0, Z81.8
    • An adolescent is brought to the emergency department after an acute self-harm attempt; during evaluation the parents disclose a paternal history of alcohol and substance use disorder and bipolar disorder, which is considered relevant to risk assessment and safety planning. A family-history code is recorded to document inherited or familial predisposition affecting immediate management and follow-up planning. Typical codes: Z81.1, Z81.4
    • An adult with schizophrenia is admitted for medical comorbidity management and requests genetic counseling because multiple first-degree relatives have been diagnosed with schizophrenia and schizoaffective disorder; the outpatient psychiatrist documents the family psychiatric history to guide long-term care coordination and consideration of familial risk. A code from this group is used to capture the documented family history of psychotic disorders as a comorbidity factor. Typical codes: Z81.3, Z81.8

    Related Codes

    Z77-OTHER-CONTACT-WITH-EXPOSURES

    ICD-10-CM Code For Other Contact With And Suspected Exposures Hazardous To Health: Group Overview

    Z78-OTHER-SPECIFIED-HEALTH-STATUS

    ICD-10-CM Code For Other Specified Health Status: Group Overview

    Z79-LONG-TERM-DRUG-THERAPY

    ICD-10-CM Code For Long Term Current Drug Therapy: Group Overview

    Z80-FAMILY-HISTORY-OF-CANCER

    ICD-10-CM Code For Family History Of Primary Malignant Neoplasm: Group Overview

    Z82-FAMILY-HISTORY-OF-DISABILITIES

    ICD-10-CM Code For Family History Of Certain Disabilities And Chronic Diseases: Group Overview

    Z83-FAMILY-HISTORY-OF-OTHER-SPECIFIC-DISORDERS

    ICD-10-CM Code For Family History Of Other Specific Disorders: Group Overview

    Z84-FAMILY-HISTORY-OTHER-CONDITIONS

    ICD-10-CM Code For Family History Of Other Conditions: Group Overview

    Z85-PERSONAL-HISTORY-OF-MALIGNANT-NEOPLASM

    ICD-10-CM Code For Personal History Of Malignant Neoplasm: Group Overview

    Z86-PERSONAL-HISTORY-OF-CERTAIN-DISEASES

    ICD-10-CM Code For Personal History Of Certain Other Diseases: Group Overview

    Z87-PERSONAL-HISTORY-OF-OTHER-DISEASES

    ICD-10-CM Code For Personal History Of Other Diseases And Conditions: Group Overview

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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