2026 ICD-10-CM Diagnosis Code Z55.4Educational maladjustment and discord with teachers and classmates

ICD-10-CM Codes›Z00–Z99›Z55-Z65›Z55

ICD-10-CM Z55.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z55.4 is a billable ICD-10-CM diagnosis code for educational maladjustment and discord with teachers and classmates. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 951. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as discord in school. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Socioeconomic/psychosocial factors.

Code Identity

ICD-10-CM Code
Z55.4
Billable Status
Yes — Valid for Submission
Code Describes
Educational maladjustment and discord with teachers and classmates
Short Description
Educational maladjustment & discord w teachers & classmates
Parent Code
Z55
Problems related to education and literacy

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ55-Z65Persons with potential health hazards related to socioeconomic and psychosocial circumstances
CategoryZ55Problems related to education and literacy
This CodeZ55.4Educational maladjustment and discord with teachers and classmates

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z55.4.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z55.4 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Discord in school
  • Discord with classmates
  • Discord with students
  • Discord with teachers
  • School maladjustment

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC019
Socioeconomic/psychosocial factors
Default principal diagnosis: inpatient No · outpatient No

Convert Z55.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V62.3 Educational circumstance
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z55.4Overview

What is the ICD-10 code for educational maladjustment and discord with teachers and classmates?

The ICD-10-CM code for educational maladjustment and discord with teachers and classmates is Z55.4 (sometimes written as Z554). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is Z55.4 (Problems related to education and literacy) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report educational maladjustment and discord with teachers and classmates on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does Z55.4 group to?

On inpatient claims, educational maladjustment and discord with teachers and classmates maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.556. Higher weights mean higher Medicare reimbursement.

Can Z55.4 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because educational maladjustment and discord with teachers and classmates describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z55.4 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for educational maladjustment and discord with teachers and classmates on inpatient claims. The code appears in the Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65) range of the CMS exempt list.