Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.
Applies from Z56 Problems related to employment and unemployment
Excludes2 (not included here)
occupational exposure to risk factors (Z57.-)
problems related to housing and economic circumstances (Z59.-)
MS-DRG index
Defines the logic of DRG(s) 951 in MDC 23.
Approximate ICD-9-CM (GEMs)
V62.1 Adverse effects of work environment (approximate)
Medicare Code Edits (MCE v43.1 (April 2026))
Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.
Code annotations containing back-references to Z56.4
Back-references to Z56
Type 2 Excludes: Z72 Problems related to lifestyle ("problems related to socioeconomic and psychosocial circumstances (Z55-Z65)")
Type 2 Excludes: Z73 Problems related to life management difficulty ("problems related to socioeconomic and psychosocial circumstances (Z55-Z65)")
Type 1 Excludes: Z73.3 Stress, not elsewhere classified ("stress related to employment or unemployment (Z56.-)")
Diagnosis Index entries for Z56.4
Discord (with) › boss
Discord (with) › employer
Discord (with) › fellow employees
Discord (with) › workmates
Problem (with) (related to) › conflict or discord (with) › boss
Problem (with) (related to) › conflict or discord (with) › employer
Problem (with) (related to) › conflict or discord (with) › workmates
Problem (with) (related to) › employment › discord
Nearby codes
Z56 Problems related to employment and unemployment