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ICD-10-CM Z Codes Help Us Track Members’ Social Needs
BCBS Texas·TX·General
Effective date
Jul 24, 2025
We identified it
Jan 12, 2026
Summary
BCBS Texas is encouraging providers to use ICD-10-CM Z codes on claims to help track members' social determinants of health (SDoH) needs. This is not a mandatory billing requirement but a data collection initiative to better understand members' social, economic, and environmental conditions that affect health outcomes.
Action Required
Optional: Educate clinical staff to screen patients for social determinants of health during visits and document findings using appropriate ICD-10-CM Z codes on claims when applicable. Note that these codes may be for informational purposes only and may not be billable. No immediate system changes required as this is an encouragement rather than a mandate.