Use Of Social Determinants Of Health Z Codes Was Sparse, 2016–22

The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, introduced Z codes to document social determinants of health. Based on an analysis of commercial claims, Z codes doubled in prevalence from 2016 to 2022, yet they remained sparsely used and varied widely by state, domain, and age group. On average, annual total health care spending for person-years with Z codes was more than twice as high as for person-years without them.

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Publication Details

Journal
Health Affairs
Published
2025-05-01
DOI
https://doi.org/10.1377/hlthaff.2024.01033
Citations
2
Primary Topic
Global Public Health Policies and Epidemiology
Type
article
Field-Weighted Citation Impact
5.53
Controls
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article

Use Of Social Determinants Of Health Z Codes Was Sparse, 2016–22

Monica S. Aswani, A. Lauren, Paul Shafer
2 citations
Health Affairs
Global Public Health Policies and Epidemiology
5.53
article

Use Of Social Determinants Of Health Z Codes Was Sparse, 2016–22

Monica S. Aswani, A. Lauren, Paul Shafer
article en
2 citations

Abstract

The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, introduced Z codes to document social determinants of health. Based on an analysis of commercial claims, Z codes doubled in prevalence from 2016 to 2022, yet they remained sparsely used and varied widely by state, domain, and age group. On average, annual total health care spending for person-years with Z codes was more than twice as high as for person-years without them.

Health AffairsVol. 44(5)
Boston University (US), University of Alabama at Birmingham (US), University of Massachusetts Boston (US)
Reduced inequalities
Openalex Percentile: Top 5%
Global Public Health Policies and Epidemiology
5.53
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