Bullying

Created Aug 2019

Query

We are coming across many cases of children/young persons receiving social work support and/or needing input from child and youth services because of bullying and we are not sure what diagnosis code best covers this.

Response

If bullying is documented and meets the ACS 0002 Additional diagnoses criteria try to obtain further information as to the type of bullying.  In the cases where further information is unable to be obtained assign Z60.4 Social exclusion and rejection following the lead term Social/exclusion in ICD-10-AM Alphabetic Index and add free text to specify bullying.
Where there is specific documentation of the type of bullying eg, ethnic origin or there is a personal history, assign another code from Chapter 21 Factors influencing health status and contact with health services (Z00-Z99). 

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