ICD-10-CM Code Z57.4

Occupational exposure to toxic agents in agriculture

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z57.4 is a billable code used to specify a medical diagnosis of occupational exposure to toxic agents in agriculture. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z57.4 might also be used to specify conditions or terms like exposure to polluted soil or exposure to polluted soil, occupational or exposure to toxic agricultural agents or exposure to toxic agricultural agents, occupational. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z57.4 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:Z57.4
Short Description:Occupational exposure to toxic agents in agriculture
Long Description:Occupational exposure to toxic agents in agriculture

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 Z57.4:

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.
  • Occupational exposure to solids, liquids, gases or vapors in agriculture

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 Z57.4 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:

  • Exposure to polluted soil
  • Exposure to polluted soil, occupational
  • Exposure to toxic agricultural agents
  • Exposure to toxic agricultural agents, occupational

Present on Admission (POA)

Z57.4 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 Z57.4 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)
      • Occupational exposure to risk factors (Z57)

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


Farm Health and Safety

You might think of farms as peaceful settings. Actually, farming is one of the most dangerous jobs in the United States. Farms have many health and safety hazards, including

  • Chemicals and pesticides
  • Machinery, tools and equipment that can be dangerous
  • Hazardous areas, such as grain bins, silos and wells
  • Livestock that can spread diseases or cause injuries

Farming injuries are very common. Physical labor and accidents can cause injuries.

Most farm accidents involve machinery. Proper machine inspection and maintenance can help prevent accidents. Using safety gloves, goggles and other protective equipment can also reduce accidents.

Occupational Safety and Health Administration


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