2024 ICD-10-CM Diagnosis Code Z59.19
Other inadequate housing
- ICD-10-CM Code:
- Z59.19
- ICD-10 Code for:
- Other inadequate housing
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
Z59.19 is a billable diagnosis code used to specify a medical diagnosis of other inadequate housing. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
This code 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.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Access to or within the residence
- Access to or within the residence
- Access to or within the residence
- Access to or within the residence
- Access to or within the residence
- Adequacy of living space - finding
- Code violation in residence
- Crowded living space
- Damp in house
- Damp in house
- Damp in house
- Damp in house
- Details of local facilities and amenities - finding
- Details of local facilities and amenities - finding
- Details of local facilities and amenities - finding
- Difficulty storing food hygienically
- Dirty environment
- Dirty living conditions
- Does not store food hygienically
- Domestic facilities - finding
- Domestic facilities - finding
- Domestic facilities - finding
- Domestic facilities - finding
- Environment contains allergens
- Environment contains infectious agent
- Environmental foul odor
- Environmental infestation of insects
- Environmental safety problem
- Finding related to ability to store food hygienically
- Finding related to ability to store food hygienically
- Finding related to ability to store food hygienically
- Finding related to ability to store food hygienically
- Hazards in the home
- Home subject to flooding
- House fumigated
- House in poor repair
- House infested
- House liable to vandalism
- Housing contains exposed wiring
- Housing contains structural barriers to movement
- Housing contains unsafe appliance
- Housing contains unsafe equipment
- Housing structurally unsound
- Housing unsuited to needs
- Improper food storage
- Inadequate carbon monoxide detection equipment in residence
- Inadequate cooking facilities
- Inadequate equipment for safe food storage in residence
- Inadequate exercise space
- Inadequate fire extinguishing equipment in residence
- Inadequate food preparation equipment in residence
- Inadequate garbage disposal
- Inadequate laundry facilities
- Inadequate play space
- Inadequate residential safety device
- Inadequate safety equipment
- Inadequate sanitation
- Inadequate sewage disposal
- Inadequate smoke detection equipment in residence
- Infestation in residence
- Insufficient means of residential entrance
- Insufficient means of residential exit
- Lack of functioning sink in residence
- Lack of functioning toilet in residence
- Lack of space for privacy in accommodation
- Lack of space in house
- Lives in damp conditions
- Lives in squalid conditions
- Living in housing with technical defects
- Living in residence with no sanitation
- Living in residence with poor sanitation
- Living in tent
- No indoor toilet
- Obstructed means of residential entrance
- Obstructed means of residential exit
- Opportunity for privacy in accommodation - finding
- Overcrowded in house
- Penetrating damp in home
- Problem with condensation
- Residence does not meet functional needs
- Rising damp in home
- Shower or tub on ground level not available
- State of repair of house - finding
- Substandard housing caused by structural insufficiency
- Unable to store food hygienically
- Unsafe floor covering
- Unsafe storage of dangerous objects
- Unsafe storage of dangerous substances
- Wet patches on wall in home
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Inclusion Terms
Inclusion TermsThese 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.
- Pest infestation
- Restriction of space
- Technical defects in home preventing adequate care
- Unsatisfactory surroundings
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Defect, defective - Q89.9
- - home, technical, preventing adequate care - Z59.19
- - Inadequate, inadequacy
- - household care, due to
- - technical defects in home - Z59.19
- - housing - Z59.10
- - space - Z59.19
- - specified NEC - Z59.19
- - household care, due to
- - Infestation - B88.9
- - pest - Z59.19
- - Person (with)
- - living (in)
- - without
- - adequate housing - Z59.10
- - space - Z59.19
- - adequate housing - Z59.10
- - without
- - living (in)
- - Restriction of housing space - Z59.19
- - Unsatisfactory
- - surroundings - Z59.19
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM 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.
Present on Admission (POA)
Z59.19 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 | Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Replacement Code
Z5919 replaces the following previously assigned ICD-10-CM code(s):
- Z59.1 - Inadequate housing
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024