ICD-10-CM Code Z73.6

Limitation of activities due to disability

Version 2020 Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z73.6 is a billable code used to specify a medical diagnosis of limitation of activities due to disability. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z73.6 might also be used to specify conditions or terms like activity alteration, activity of daily living alteration, asthma limiting activities, asthma limiting activities, asthma limiting activities, asthma limits walking on the flat, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z73.6 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:Z73.6
Short Description:Limitation of activities due to disability
Long Description:Limitation of activities due to disability

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 Z73.6:

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.
  • care-provider dependency Z74

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 Z73.6 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:

  • Activity alteration
  • Activity of daily living alteration
  • Asthma limiting activities
  • Asthma limiting activities
  • Asthma limiting activities
  • Asthma limits walking on the flat
  • Asthma limits walking up hills or stairs
  • Asthma restricts exercise
  • Asthma severely restricts exercise
  • Asthma sometimes restricts exercise
  • Disability affecting daily living
  • Disability assessment observations - physical
  • ECOG performance status - grade 1
  • ECOG performance status - grade 2
  • ECOG performance status - grade 3
  • ECOG performance status finding
  • ECOG performance status finding
  • ECOG performance status finding
  • Feeding disability
  • Psychiatric behavioral disability
  • WHO performance status finding
  • WHO performance status finding
  • WHO performance status finding
  • WHO performance status finding
  • WHO performance status grade 1
  • WHO performance status grade 2
  • WHO performance status grade 3
  • WHO performance status grade 4

Present on Admission (POA)

Z73.6 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 Z73.6 to ICD-9

  • V62.89 - Psychological stress NEC (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services in other circumstances (Z69-Z76)
      • Problems related to life management difficulty (Z73)

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


Disabilities

Disabilities make it harder to do normal daily activities. They may limit what you can do physically or mentally, or they can affect your senses. Disability doesn't mean unable, and it isn't a sickness. Most people with disabilities can - and do - work, play, learn, and enjoy full, healthy lives. Mobility aids and assistive devices can make daily tasks easier.

About one in every five people in the United States has a disability. Some people are born with one. Others have them as a result of an illness or injury. Some people develop them as they age. Almost all of us will have a disability at some point in our lives.

Department of Health and Human Services


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