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Z61.2 ICD-10-CA code: Altered pattern of family relationships in childhood

Z61.2 is the ICD-10-CA code for “Altered pattern of family relationships in childhood” in CIHI’s FY 2026–2027 release, in effect from Apr 1, 2026.

Official description

Z61.2

Altered pattern of family relationships in childhood

Short description: Altered family relatnshp in childhood

ICD-10-CA · Canada · Also written Z612

Index terms

Entries in CIHI’s alphabetical index that lead to Z61.2. Searching the index by the condition the note names is how coders reach this code.

  • Sibling rivalry, affecting child
  • Altered pattern of family relationships affecting child
  • Problem (related to) (with), birth of sibling affecting child
  • Problem (related to) (with), new step parent, affecting child
  • Problem (related to) (with), negative life events in childhood, altered pattern of family relationships

Notes for Z61.2

As CIHI prints them, with any note Z61.2 takes from the headings above it.

Excludes

Conditions classified elsewhere.

Note

  • Arrival of a new person into a family resulting in adverse change in child's relationships. May include new marriage by a parent or birth of a sibling.
  • This chapter should not be used for international comparison or for primary mortality coding.Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as "diagnoses" or "problems". This can arise in two main ways:(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination or to discuss a problem which is in itself not a disease or injury.(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. Such factors may be elicited during population surveys, when the person may or may not be currently sick, or be recorded as an additional factor to be borne in mind when the person is receiving care for some illness or injury.From Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)

Where Z61.2 sits

  1. 1ChapterChapter 21: Factors influencing health status and contact with health services (Z00-Z99)
  2. 2Block Z55-Z65Persons with potential health hazards related to socioeconomic and psychosocial circumstances
  3. 3Category Z61Problems related to negative life events in childhood
  4. 4Valid code Z61.2Altered pattern of family relationships in childhood

Source and release

Data release
ICD-10-CA · FY 2026–2027
Effective date
Apr 1, 2026
Publisher
CIHI

This page is built from the ICD-10-CA catalog that Vero Codes reads when it suggests codes: Canadian Institute for Health Information’s FY 2026–2027 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

See Z61.2 in the CIHI source

Frequently asked questions

What does ICD-10-CA code Z61.2 mean?

Z61.2 is the ICD-10-CA code for “Altered pattern of family relationships in childhood” in CIHI’s ICD-10-CA FY 2026–2027 release.

Where is Z61.2 in ICD-10-CA?

Z61.2 sits under Z61 Problems related to negative life events in childhood, within Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances, within Chapter 21: Factors influencing health status and contact with health services (Z00-Z99).

What coding notes apply to Z61.2?

ICD-10-CA lists Note, Excludes notes for Z61.2, including those from the headings it sits under. They are listed on this page with where each one comes from.

Which ICD-10-CA release does this page use?

It uses CIHI’s FY 2026–2027 release, in effect from Apr 1, 2026 to Mar 31, 2027. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.

Codes beside Z61.2

Z61.0Loss of love relationship in childhoodZ61.1Removal from home in childhoodZ61.3Events resulting in loss of self-esteem in childhoodZ61.4Problems related to alleged sexual abuse of child by person within primary support groupZ61.5Problems related to alleged sexual abuse of child by person outside primary support groupZ61.6Problems related to alleged physical abuse of childZ61.7Personal frightening experience in childhoodZ61.8Other negative life events in childhoodZ61.9Negative life event in childhood, unspecified