Insufficient health insurance coverage

ValidICD-10-CM diagnosis code.

Valid for claims with a date of service in the current code year.

Valid FY2025 onwards.

What has happened to this code

Every change the publisher made, from 2025 to now.

FY2025 Added to the code set Insufficient health insurance coverage

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from Z59 Problems related to housing and economic circumstances

Excludes2 - not included here

problems related to upbringing (Z62.-)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

No > health insurance coverage
Inadequate, inadequacy > social > insurance
Insufficiency, insufficient > social insurance
Insufficiency, insufficient > health insurance coverage

Codes in the same group

Code	Description	Status
Z59.72	Insufficient welfare support	Valid

At a glance

Code: Z59.71
System: ICD-10-CM
Status: Valid
Valid: FY2025 onwards
In the code set: FY2025 onwards
Part of: Z59.7
POA: Exempt from present-on-admission reporting

Where this code sits

Chapter Z00-Z99 Factors influencing health status and contact with health services
Section Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances
Category Z59.7 Insufficient social insurance and welfare support
This code Z59.71 Insufficient health insurance coverage

Source

ICD-10-CM FY2027 code set, published by the National Center for Health Statistics (NCHS).

Effective October 1, 2026.

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