Z60.4Social exclusion and rejection
Code usage status
Primary diagnosis
May be used as the primary diagnosis
Apply only when it matches the confirmed diagnosis and the documented clinical record.
Specificity
Complete code in the classification
Use when the diagnosis matches and no exclusion applies.
- Official Vietnamese name
- Đối tượng bị xã hội loại trừ và/hoặc bác bỏ
- Additional WHO coding guidance
- Exclusion and rejection on the basis of personal characteristics, such as unusual physical appearance, illness or behaviour. Excl.: target of adverse discrimination such as for racial or religious
Related Z60 codes
Z60
Problems related to social environment
Z60.0
Primary diagnosis candidate
Problems of adjustment to life- cycle transitions
Z60.1
Primary diagnosis candidate
Atypical parenting situation
Z60.2
Primary diagnosis candidate
Living alone
Z60.3
Primary diagnosis candidate
Acculturation difficulty
Z60.5
Primary diagnosis candidate
Target of perceived adverse discrimination and persecution
Z60.8
Primary diagnosis candidate
Other problems related to social environment
Z60.9
Primary diagnosis candidate
Problem related to social environment, unspecified
Clinical record checklist
View coding guide →- Confirm that the code matches the final documented diagnosis.
- Use one primary-diagnosis code and record only relevant additional conditions.
- Review Ministry indicators, inclusions, exclusions and notes.
- Do not infer a diagnosis beyond the clinical record.
2026 regulatory basis
Indicators are taken from columns 24–29 of the classification accompanying Circular 06/2026/TT-BYT, cross-referenced with Decision 1849/QĐ-BYT and Official Dispatch 4059/BYT-BH.
