ICD-10-CM · FY 2026 POA Exempt
POA Exempt: Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65) ICD-10-CM
The 110 ICD-10-CM codes in this range are exempt from Present on Admission reporting for fiscal year 2026. Hospitals assign no POA indicator for them on inpatient claims: the codes describe circumstances, such as pre-existing conditions or the cause of an injury, where asking whether the condition was present at admission adds no information.
✓ Built from the official CMS FY 2026 POA exempt fileEffective Oct 1, 2025 – Sep 30, 2026
110
Exempt Codes
1
POA Indicator When Reported
ICD-10-CM
Exempt Codes in This Range 110 codes · 9 categories
110 of 110 shown
Z55 Problems related to education and literacy9 codes
- Z55.0 Illiteracy and low-level literacy
- Z55.1 Schooling unavailable and unattainable
- Z55.2 Failed school examinations
- Z55.3 Underachievement in school
- Z55.4 Educational maladjustment and discord with teachers and classmates
- Z55.5 Less than a high school diploma
- Z55.6 Problems related to health literacy
- Z55.8 Other problems related to education and literacy
- Z55.9 Problems related to education and literacy, unspecified
Z56 Problems related to employment and unemployment11 codes
- Z56.0 Unemployment, unspecified
- Z56.1 Change of job
- Z56.2 Threat of job loss
- Z56.3 Stressful work schedule
- Z56.4 Discord with boss and workmates
- Z56.5 Uncongenial work environment
- Z56.6 Other physical and mental strain related to work
- Z56.81 Sexual harassment on the job
- Z56.82 Military deployment status
- Z56.89 Other problems related to employment
- Z56.9 Unspecified problems related to employment
Z57 Occupational exposure to risk factors11 codes
- Z57.0 Occupational exposure to noise
- Z57.1 Occupational exposure to radiation
- Z57.2 Occupational exposure to dust
- Z57.31 Occupational exposure to environmental tobacco smoke
- Z57.39 Occupational exposure to other air contaminants
- Z57.4 Occupational exposure to toxic agents in agriculture
- Z57.5 Occupational exposure to toxic agents in other industries
- Z57.6 Occupational exposure to extreme temperature
- Z57.7 Occupational exposure to vibration
- Z57.8 Occupational exposure to other risk factors
- Z57.9 Occupational exposure to unspecified risk factor
Z58 Problems related to physical environment3 codes
Z59 Problems related to housing and economic circumstances25 codes
- Z59.00 Homelessness unspecified
- Z59.01 Sheltered homelessness
- Z59.02 Unsheltered homelessness
- Z59.10 Inadequate housing, unspecified
- Z59.11 Inadequate housing environmental temperature
- Z59.12 Inadequate housing utilities
- Z59.19 Other inadequate housing
- Z59.2 Discord with neighbors, lodgers and landlord
- Z59.3 Problems related to living in residential institution
- Z59.41 Food insecurity
- Z59.48 Other specified lack of adequate food
- Z59.5 Extreme poverty
- Z59.6 Low income
- Z59.71 Insufficient health insurance coverage
- Z59.72 Insufficient welfare support
- Z59.811 Housing instability, housed, with risk of homelessness
- Z59.812 Housing instability, housed, homelessness in past 12 months
- Z59.819 Housing instability, housed unspecified
- Z59.82 Transportation insecurity
- Z59.861 Financial insecurity, difficulty paying for utilities
- Z59.868 Other specified financial insecurity
- Z59.869 Financial insecurity, unspecified
- Z59.87 Material hardship due to limited financial resources, not elsewhere classified
- Z59.89 Other problems related to housing and economic circumstances
- Z59.9 Problem related to housing and economic circumstances, unspecified
Z62 Problems related to upbringing28 codes
- Z62.0 Inadequate parental supervision and control
- Z62.1 Parental overprotection
- Z62.21 Child in welfare custody
- Z62.22 Institutional upbringing
- Z62.23 Child in custody of non-parental relative
- Z62.24 Child in custody of non-relative guardian
- Z62.29 Other upbringing away from parents
- Z62.3 Hostility towards and scapegoating of child
- Z62.6 Inappropriate (excessive) parental pressure
- Z62.810 Personal history of physical and sexual abuse in childhood
- Z62.811 Personal history of psychological abuse in childhood
- Z62.812 Personal history of neglect in childhood
- Z62.813 Personal history of forced labor or sexual exploitation in childhood
- Z62.814 Personal history of child financial abuse
- Z62.815 Personal history of intimate partner abuse in childhood
- Z62.819 Personal history of unspecified abuse in childhood
- Z62.820 Parent-biological child conflict
- Z62.821 Parent-adopted child conflict
- Z62.822 Parent-foster child conflict
- Z62.823 Parent-step child conflict
- Z62.831 Non-parental relative-child conflict
- Z62.832 Non-relative guardian-child conflict
- Z62.833 Group home staff-child conflict
- Z62.890 Parent-child estrangement NEC
- Z62.891 Sibling rivalry
- Z62.892 Runaway [from current living environment]
- Z62.898 Other specified problems related to upbringing
- Z62.9 Problem related to upbringing, unspecified
Z63 Other problems related to primary support group, including family circumstances12 codes
- Z63.0 Problems in relationship with spouse or partner
- Z63.1 Problems in relationship with in-laws
- Z63.31 Absence of family member due to military deployment
- Z63.32 Other absence of family member
- Z63.4 Disappearance and death of family member
- Z63.5 Disruption of family by separation and divorce
- Z63.6 Dependent relative needing care at home
- Z63.71 Stress on family due to return of family member from military deployment
- Z63.72 Alcoholism and drug addiction in family
- Z63.79 Other stressful life events affecting family and household
- Z63.8 Other specified problems related to primary support group
- Z63.9 Problem related to primary support group, unspecified
Z64 Problems related to certain psychosocial circumstances3 codes
Z65 Problems related to other psychosocial circumstances8 codes
- Z65.0 Conviction in civil and criminal proceedings without imprisonment
- Z65.1 Imprisonment and other incarceration
- Z65.2 Problems related to release from prison
- Z65.3 Problems related to other legal circumstances
- Z65.4 Victim of crime and terrorism
- Z65.5 Exposure to disaster, war and other hostilities
- Z65.8 Other specified problems related to psychosocial circumstances
- Z65.9 Problem related to unspecified psychosocial circumstances
Questions About This Category
Why are these codes POA exempt?
The codes for persons with potential health hazards related to socioeconomic and psychosocial circumstances describe circumstances where the Present on Admission question has no meaning, so CMS exempts them from the indicator. The exemption is published in the official FY 2026 CMS exempt file.
How many codes in this range are exempt?
The FY 2026 exempt list contains 110 codes in this range, effective October 1, 2025 through September 30, 2026.
Are these codes billable?
The exemption only removes the POA indicator requirement, it does not change how a code is used on claims. Billable status is shown per code: blue codes are billable, and any codes shown in the amber tone are category headers that need more characters.
More POA Exempt Categories
Problems related to education and literacyProblems related to employment and unemploymentOccupational exposure to risk factorsProblems related to physical environmentProblems related to housing and economic circumstancesProblems related to upbringingOther problems related to primary support group, including family circumstancesProblems related to certain psychosocial circumstances All POA exempt categories →
Source: CMS FY 2026 ICD-10-CM POA exempt file, effective October 1, 2025 through September 30, 2026. See also the Medicare Code Edits and the MS-DRG list.
