Z60Problems related to social environment
Code usage status
Primary diagnosis
Select a more specific code
Apply only when it matches the confirmed diagnosis and the documented clinical record.
Specificity
Do not use Z60 directly
Use the most specific code supported by the record.
- Official Vietnamese name
- Vấn đề liên quan đến môi trường xã hội
Related Z60 codes
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
Z60.4
Primary diagnosis candidate
Social exclusion and rejection
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.
