ICD-10-CM Code Z65.5

Exposure to disaster, war and other hostilities

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z65.5 is a billable code used to specify a medical diagnosis of exposure to disaster, war and other hostilities. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z65.5 might also be used to specify conditions or terms like exposure to combat, operations of war, prisoner of war, prisoner of war in germany, prisoner of war in japan, saw war service, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z65.5 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:Z65.5
Short Description:Exposure to disaster, war and other hostilities
Long Description:Exposure to disaster, war and other hostilities

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 Z65.5:

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • target of perceived discrimination or persecution Z60.5

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 Z65.5 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:

  • Exposure to combat
  • Operations of war
  • Prisoner of war
  • Prisoner of war in Germany
  • Prisoner of war in Japan
  • Saw war service
  • Victim of aerial warfare
  • Victim of armed conflict
  • Victim of civil insurrection
  • Victim of civil warfare
  • Victim of guerrilla warfare
  • Victim of international warfare
  • Victim of land warfare
  • Victim of military action
  • Victim of naval warfare
  • Victim of peacekeeping action

Present on Admission (POA)

Z65.5 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 Z65.5 to ICD-9

  • V62.22 - Hx retrn military deploy (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 other psychosocial circumstances (Z65)

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