Wiki Use of Z55-Z65 (Social Determinants of Health) as principal diagnosis?

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Does anyone know definitively whether or not a patient's provider may bill Z55-Z65 as a principal ICD-10 code or may they only be used as a secondary code to some other medical/clinical ICD-10 code? Do some payers pay for Z55-Z65 as a principal ICD-10 diagnosis and others do not?
 
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