Chapter 24: Factors Influencing Health Status or Contact With Health Services
ICD-11 codes QA00-QF4Z
Covers encounters for screenings, vaccinations, health status factors, social determinants of health, and follow-up care. ICD-11 expands SDOH coding and improves classification of preventive care encounters.
QA00-QA0Z
Contact with health services for purposes of examination or investigation
QA00General examination or investigation of persons without complaint or reported diagnosis
QA01Examination or encounter for administrative purposes
QA02Medical observation or evaluation for suspected diseases or conditions, ruled out
QA03Routine general health check-up of defined subpopulation
QA04Examination or observation for reasons other than suspected diseases or conditions or administrative purposes
QA05Person consulting for explanation of investigation findings
QA06Follow-up examination after treatment for malignant neoplasms
QA07Follow-up examination after treatment for conditions other than malignant neoplasms
QA08Special screening examination for infectious diseases
QA09Special screening examination for neoplasms
QA0ASpecial screening examination for other diseases or disorders
QA0BPreprocedural examination
QA0YOther examination or investigation
QA0ZExamination or investigation, unspecified
QA00-QD3Z
Reasons for contact with the health services
QA10-QA1Z
Contact with health services for counselling
QA10Contact with health services for dietary counselling or surveillance
QA11Contact with health services for alcohol use counselling or surveillance
QA12Contact with health services for drug use counselling or surveillance
QA13Contact with health services for tobacco use counselling
QA14Contact with health services for human immunodeficiency virus counselling
QA15Counselling related to sexuality
QA16Individual psychological or behavioural counselling
QA17Marital or couples counselling
QA18Family counselling
QA19Group counselling
QA1ADiscussion of issues surrounding impending death
QA1BConcern about or fear of medical treatment
QA1CPerson with feared complaint in whom no diagnosis is made
QA1YContact with health services for other specified counselling
QA1ZContact with health services for unspecified counselling
QA20-QA4Z
Contact with health services for reasons associated with reproduction
QA20Contact with health services for concerns about pregnancy
QA21Contact with health services for contraceptive management
QA40Pregnancy examination or test
QA41Pregnant state
QA42Supervision of normal pregnancy
QA43Supervision of high-risk pregnancy
QA44Expectant parent pre-birth visit
QA45Antenatal screening
QA46Outcome of delivery
QA47Liveborn infants according to place of birth
QA48Postpartum care or examination
QA49Problems related to unwanted pregnancy
QA4AProblems related to multiparity
QA4BContact with health services for menopausal counselling
QA4YOther specified contact with health services for reasons associated with reproduction
QA4ZContact with health services for reasons associated with reproduction, unspecified
QA30-QA3Z
Contact with health services for procreative management
QA30Contact with health services for medically assisted reproduction
QA31Contact with health services for genetic counselling
QA32Contact with health services for tuboplasty or vasoplasty after previous sterilisation
QA33Contact with health services for preconception counselling
QA34Contact with health services for fertility preservation counselling
QA35Contact with health services by gestational carrier
QA3YContact with health services for other specified procreative management
QA3ZContact with health services for procreative management, unspecified
QA50-QA5Z
Circumstances associated with a surgical or other medical procedure influencing the episode of care, without injury or harm
QA50Embolisation without injury or harm
QA51Foreign body accidentally left in body without injury or harm
QA52Failure of sterile precautions without injury or harm
QA53Pressure as potential mode of injury without injury or harm
QA5YOther specified circumstances associated with a surgical or other medical procedure influencing the episode of care, without injury or harm
QA5ZCircumstances associated with a surgical or other medical procedure influencing the episode of care, without injury or harm, unspecified
QA50-QB0Z
Health care related circumstances influencing the episode of care without injury or harm
QA60-QA6Z
Circumstances associated with a surgical or other medical device influencing the episode of care without injury or harm
QA60Structural device failure without injury or harm
QA61Functional device failure without injury or harm
QA62Dislodgement, misconnection or de-attachment of a surgical or medical device without injury or harm
QA63Obstruction of device without injury or harm
QA64Operator error without injury or harm
QA65Combination or interaction of operator error and device failure without injury or harm
QA6YOther specified circumstances associated with a surgical or other medical device influencing the episode of care without injury or harm
QA6ZCircumstances associated with a surgical or other medical device influencing the episode of care without injury or harm, unspecified
QA70-QA7Z
Circumstances associated with exposure to a drug, medicament or biological substance influencing the episode of care without injury or harm
QA70Overdose of substance without injury or harm
QA71Underdosing without injury or harm
QA72Incorrect substance without injury or harm
QA73Incorrect route of administration without injury or harm
QA74Unspecified appropriateness of dosing or administration without injury or harm
QA75Incorrect duration of administration or course of therapy without injury or harm
QA76Medication or substance that is known to be an allergen without injury or harm
QA77Medication or substance that is known to be contraindicated for the patient without injury or harm
QA78Expired or deteriorated medication or substance without injury or harm
QA79Drug or substance interactions without injury or harm
QA7AInappropriate stoppage or discontinuation of drug without injury or harm
QA7YOther specified circumstances associated with exposure to a drug, medicament or biological substance influencing the episode of care without injury or harm
QA7ZCircumstances associated with exposure to a drug, medicament or biological substance influencing the episode of care without injury or harm, unspecified
QA80-QA8Z
Circumstances associated with other aspects of care influencing the episode of care without injury or harm
QA80Non-administration of necessary drug without injury or harm
QA81Non-provision of necessary procedure without injury or harm
QA82Problem associated with physical transfer of patient without injury or harm
QA83Mismatched blood used in transfusion without injury or harm
QA84Other problem with transfusion without injury or harm
QA85Problem with physical restraints without injury or harm
QA86Problem with isolation protocol without injury or harm
QA87Problem with clinical documentation without injury or harm
QA88Problem with clinical software without injury or harm
QA89Incorrect diagnosis without injury or harm
QA8ADelayed diagnosis without injury or harm
QA8BDelayed treatment without injury or harm
QA8CProblem with transitions of care, hand offs, or handovers without injury or harm
QA8DPatient received diagnostic test or treatment intended for another patient without injury or harm
QA8EFall in health care without injury or harm
QA8FNeedle stick without injury or harm
QA8YOther specified circumstances associated with other aspects of care influencing the episode of care without injury or harm
QA8ZCircumstances associated with other aspects of care influencing the episode of care without injury or harm, unspecified
QB10-QB1Z
Factors related to medical facilities or other health care
QB10Medical services not available in home
QB11Person awaiting admission to adequate facility elsewhere
QB12Waiting period for investigation or treatment other than awaiting admission to adequate facility elsewhere
QB13Unavailability or inaccessibility of helping agencies other than health care facilities
QB14Unavailability or inaccessibility of health care facilities
QB15Medical services not available in current medical facility
QB16Respite care
QB1YOther specified factors related to medical facilities or other health care
QB1ZFactors related to medical facilities or other health care, unspecified
QB20-QB2Z
Donors of organs or tissues
QB30-QB3Z
Fitting, adjustment or management of devices
QB40-QB4Z
Dependence on enabling machines or devices
QB50-QB5Z
Presence of device, implants or grafts
QB60-QB6Z
Surgical or postsurgical states
QB70-QB7Z
Convalescence
QB80-QB8Z
Contact with health services for specific surgical interventions
QB80Contact with health services for prophylactic surgery
QB81Contact with health services for plastic surgery for unacceptable cosmetic appearance other than hair transplant
QB82Contact with health services for routine or ritual circumcision
QB83Follow-up care involving plastic surgery
QB84Follow-up care involving removal of fracture plate or other internal fixation device
QB85Attention to surgical dressings, drains or sutures
QB86Contact with health services for hair transplant
QB8YContact with health services for other specified surgical interventions
QB8ZContact with health services for specific surgical interventions, unspecified
QB90-QB9Z
Contact with health services for nonsurgical interventions not involving devices
QB90Contact with health services for ear piercing
QB91Contact with health services for piercing of body site other than ear
QB92Contact with health services for issue of repeat prescription
QB93Contact with health services for orthodontic care
QB94Care involving dialysis
QB95Care involving use of rehabilitation procedures
QB96Contact with health services for radiotherapy session
QB97Contact with health services for chemotherapy session for neoplasm
QB98Blood transfusion without reported diagnosis
QB99Apheresis
QB9APreparatory care for subsequent treatment
QB9BPalliative care
QB9CAllergen immunotherapy
QB9YOther specified contact with health services for nonsurgical interventions not involving devices
QB9ZContact with health services for nonsurgical interventions not involving devices, unspecified
QC00-QC0Z
Contact with health services related to immunizations or certain other prophylactic measures
QC00Need for immunization against single bacterial diseases
QC01Need for immunization against certain single viral diseases
QC02Need for immunization against certain specified single infectious diseases
QC03Need for immunization against combinations of infectious diseases
QC04Immunization not carried out
QC05Need for certain specified other prophylactic measures
QC06Underimmunization status
QC0YOther specified contact with health services related to immunizations or certain other prophylactic measures
QC0ZContact with health services related to immunizations or certain other prophylactic measures, unspecified
QC10-QC1Z
Interventions not carried out
QC10Procedure not carried out because of contraindication
QC11Procedure not carried out because of patient's decision for reasons of belief or group pressure
QC12Procedure not carried out because of patient's decision for reasons other than belief or group pressure
QC1YIntervention not carried out for other reasons
QC1ZIntervention not carried out, unspecified reason
QC20-QC2Z
Contact with health services associated with the health of others
QC20Person consulting on behalf of another person
QC21Healthy person accompanying sick person
QC22Health supervision or care of abandoned infant
QC2YOther specified contact with health services associated with the health of others
QC2ZContact with health services associated with the health of others, unspecified
QC40-QC4Z
Personal history of health problems
QC40Personal history of malignant neoplasm
QC41Personal history of non-malignant neoplasms
QC42Personal history of infectious or parasitic diseases
QC43Personal history of diseases of the blood or blood-forming organs
QC44Personal history of diseases of the immune system
QC45Personal history of endocrine, nutritional or metabolic diseases
QC46Personal history of mental or behavioural disorder
QC47Personal history of diseases of the nervous system or sense organs
QC48Personal history of medical treatment
QC49Personal history of noncompliance with medical treatment or regimen
QC4APersonal history of poor personal hygiene
QC4BPersonal history of self-harm
QC4YPersonal history of other specified health problems
QC4ZPersonal history of health problems, unspecified
QC40-QC8Z
Personal or family history or late effect of prior health problems
QC60-QC6Z
Family history of health problems
QC60Family history of infectious diseases
QC61Family history of malignant neoplasm
QC62Family history of diseases of the blood or blood-forming organs
QC63Family history of disorders involving the immune mechanism
QC64Family history of endocrine, nutritional or metabolic diseases
QC65Family history of mental or behavioural disorder
QC66Family history of eye or ear disorders
QC67Family history of ischaemic heart disease or other diseases of the circulatory system
QC68Family history of consanguinity
QC69Family history of stroke
QC6YFamily history of other specified health problems
QC6ZFamily history of health problems, unspecified
QC90-QD2Z
Risk factors associated with infectious or certain other conditions
QD00-QD0Z
Carrier of infectious disease agent
QD00Carrier of salmonella typhi
QD01Carrier of intestinal infectious agents
QD02Carrier of corynebacterium diphtheriae
QD03Carrier of infectious agents with a predominantly sexual mode of transmission
QD04Asymptomatic colonization of the skin by virulent or therapy resistant bacteria
QD0YCarrier of other specified infectious disease agent
QD0ZCarrier of infectious disease agent, unspecified
QD30-QD3Z
Concern about body appearance
QD50-QD5Z
Problems associated with finances
QD50-QF2Z
Factors influencing health status
QD60-QD6Z
Problems associated with drinking water or nutrition
QD70-QD7Z
Problems associated with the environment
QD80-QD8Z
Problems associated with employment or unemployment
QD80Problem associated with unemployment
QD81Problem associated with change of job
QD82Problem associated with threat of job loss
QD83Problem with employment conditions
QD84Occupational exposure to risk-factors
QD85Burnout
QD8YOther specified problems associated with employment or unemployment
QD8ZProblems associated with employment or unemployment, unspecified
QD90-QD9Z
Problems associated with education
QE00-QE0Z
Problems associated with social or cultural environment
QE00Acculturation difficulty
QE01Stress, not elsewhere classified
QE02Social role conflict
QE03Social exclusion or rejection
QE04Target of perceived adverse discrimination or persecution
QE0YOther specified problems associated with social or cultural environment
QE0ZProblems associated with social or cultural environment, unspecified
QE10-QE1Z
Hazardous substance use
QE10-QE2Z
Problems associated with health behaviours
QE20Lack of physical exercise
QE21Hazardous gambling or betting
QE22Hazardous gaming
QE23Problems with inappropriate diet or eating habits
QE24Problems with hygiene behaviours
QE25Problems with oral health behaviours
QE26Problem with sun exposure behaviour
QE27Problem with behaviours related to psychological health or wellbeing
QE28Problem with health literacy
QE2YProblems with other specified health-related behaviours
QE2ZProblem with health-related behaviours, unspecified
QE30-QE3Z
Problems associated with social insurance or welfare
QE40-QE4Z
Problems associated with the justice system
QE40Problem associated with conviction in civil or criminal proceedings without imprisonment
QE41Problem associated with imprisonment and other incarceration
QE42Problem associated with release from prison
QE4YOther specified problems associated with the justice system
QE4ZProblems associated with the justice system, unspecified
QE50-QE5Z
Problems associated with relationships
QE60-QE6Z
Problems associated with absence, loss or death of others
QE80-QE8Z
Problems associated with harmful or traumatic events
QE80Victim of crime or terrorism
QE81Exposure to disaster, war or other hostilities
QE82Personal history of maltreatment
QE83Personal frightening experience in childhood
QE84Acute stress reaction
QE8YOther specified problems associated with harmful or traumatic events
QE8ZProblems associated with harmful or traumatic events, unspecified
QE90-QE9Z
Problems associated with upbringing
QE90Inadequate parental supervision or control
QE91Parental overprotection
QE92Altered pattern of family relationships in childhood
QE93Removal from home in childhood
QE94Institutional upbringing
QE95Inappropriate parental pressure or other abnormal qualities of upbringing
QE96Events resulting in loss of self-esteem in childhood
QE9YOther specified problems associated with upbringing
QE9ZProblems associated with upbringing, unspecified
QF00-QF0Z
Acquired absence of body structure
QF20-QF2Z
Difficulty or need for assistance with activities
QF20Difficulty or need for assistance with learning
QF21Difficulty or need for assistance with general life tasks or life management
QF22Difficulty or need for assistance with communication
QF23Difficulty or need for assistance with mobility
QF24Difficulty or need for assistance with self-care
QF25Difficulty or need for assistance with relationships
QF26Difficulty or need for assistance with household tasks
QF27Difficulty or need for assistance at home and no other household member able to render care
QF28Difficulty or need for assistance with work activities
QF29Difficulty or need for assistance with major areas of life
QF2ADifficulty or need for assistance with community participation
QF2BNeed for continuous supervision
QF2YDifficulty or need for assistance with other specified activity
QF2ZDifficulty or need for assistance with unspecified activity
Frequently Asked Questions
What ICD-11 codes are in Chapter 24?
Chapter 24: Factors Influencing Health Status or Contact With Health Services covers ICD-11 codes QA00-QF4Z. It contains 45 code blocks with 332 top-level categories.
What conditions does ICD-11 Chapter 24 cover?
Covers encounters for screenings, vaccinations, health status factors, social determinants of health, and follow-up care. ICD-11 expands SDOH coding and improves classification of preventive care encounters. This chapter includes codes from QA00-QF4Z.
How is ICD-11 Chapter 24 different from ICD-10?
ICD-11 reorganized many chapters compared to ICD-10. Chapter 24 (Factors Influencing Health Status or Contact With Health Services) may include conditions that were in different ICD-10 chapters, and some conditions previously here may have moved. ICD-11 also adds new chapters for sleep-wake disorders, sexual health, and traditional medicine that did not exist in ICD-10.
How many code blocks are in ICD-11 Chapter 24?
Chapter 24 has 45 code blocks: QA00-QA0Z (Contact with health services for purposes of examination or investigation), QA00-QD3Z (Reasons for contact with the health services), QA10-QA1Z (Contact with health services for counselling), QA20-QA4Z (Contact with health services for reasons associated with reproduction), and 41 more.
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