716 Other Conditions That May Be a Focus of Clinical Attention
V61.8 (Z62.891) Sibling Relational Problem
This category should be used when the focus of  clinical attention is a pattern of interaction
among siblings that is associated with significan t impairment in individual or family function-
ing or with development of symptoms in one or more of the siblings, or when a sibling relational
problem is affecting the course, prognosis, or treatment of a sibling’s mental or other medical
disorder. This category can be used for either children or adults if the focus is on the sibling re-
lationship. Siblings in this context include fu ll, half-, step-, foster , and adopted siblings.
V61.8 (Z62.29) Upbringing Away From Parents
This category should be used when the main focus of clinical attention pertains to issues
regarding a child being raised away from the parents or when this separate upbringing af-
fects the course, prognosis, or treatment of a mental or other medical disorder. The child
could be one who is under state custody and pl aced in kin care or foster care. The child
could also be one who is living in a nonparenta l relative’s home, or with friends, but whose
out-of-home placement is not mandated or sanctioned by the courts. Problems related to a
child living in a group home or orphanage are also included. This category excludes issues
related to V60.6 (Z59.3) ch ildren in boarding schools.
V61.29 (Z62.898) Child Affected by Parental Relationship Distress
This category should be used when the focus of clinical attention is the negative effects of
parental relationship discord (e.g., high levels of conflict, distress, or disparagement) on a
child in the family, including effects on the child’s mental or other medical disorders.