ICD-10-CM Code Z56.5

Uncongenial work environment

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z56.5 is a billable code used to specify a medical diagnosis of uncongenial work environment. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z56.5 might also be used to specify conditions or terms like employment problem, inadequate canteen at work, inadequate drinking water facilities at work, inadequate handwashing facilities at work, inadequate rest area at work, inadequate shower facilities at work, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z56.5 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

ICD-10:Z56.5
Short Description:Uncongenial work environment
Long Description:Uncongenial work environment

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z56.5:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Difficult conditions at work

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z56.5 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • 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.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Employment problem
  • Inadequate canteen at work
  • Inadequate drinking water facilities at work
  • Inadequate handwashing facilities at work
  • Inadequate rest area at work
  • Inadequate shower facilities at work
  • Inadequate toilet facilities at work
  • Inadequate vending machine at work
  • Inadequate workplace welfare facility
  • No canteen at work
  • No drinking water available at work
  • No handwashing facilities at work
  • No rest area at work
  • No shower facilities at work
  • No toilet facilities at work
  • No vending machine at work
  • No workplace welfare facility
  • Occupational environmental problem
  • Uncongenial work environment
  • Workplace canteen facilities - finding
  • Workplace canteen facilities - finding
  • Workplace drinking water availability - finding
  • Workplace drinking water availability - finding
  • Workplace handwashing facilities - finding
  • Workplace handwashing facilities - finding
  • Workplace rest area facilities - finding
  • Workplace rest area facilities - finding
  • Workplace shower facilities - finding
  • Workplace shower facilities - finding
  • Workplace toilet facilities - finding
  • Workplace toilet facilities - finding
  • Workplace vending machine facilities - finding
  • Workplace vending machine facilities - finding
  • Workplace welfare facility - finding
  • Workplace welfare facility - finding

Present on Admission (POA)

Z56.5 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z56.5 to ICD-9

  • V62.1 - Adverse eff-work environ (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
      • Problems related to employment and unemployment (Z56)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Occupational Health

Occupational health problems occur at work or because of the kind of work you do. These problems can include

  • Cuts, broken bones, sprains, and strains
  • Loss of limbs
  • Repetitive motion disorders
  • Hearing problems caused by exposure to noise
  • Vision problems
  • Illness caused by breathing, touching, or swallowing unsafe substances
  • Illness caused by exposure to radiation
  • Exposure to germs in health care settings

Good job safety and prevention practices can reduce your risk of these problems. Try to stay fit, reduce stress, set up your work area properly, and use the right equipment and gear.


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