ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesZ58.89

Z58.89

Other problems related to physical environment

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z58.89 is a billable code used to indicate a diagnosis of other problems related to physical environment.

Key Diagnostic Point:

Z58.89 is used to classify various issues that arise from the physical environment impacting an individual's health status. This can include factors such as exposure to environmental toxins, inadequate housing conditions, or unsafe living environments that may lead to health complications. Understanding these environmental determinants is crucial for preventive care, as they can significantly influence health outcomes. For instance, individuals living in areas with high pollution levels may require screening for respiratory conditions, while those in substandard housing may face risks of lead exposure or mold-related illnesses. Proper documentation of these environmental factors is essential for effective aftercare and follow-up, ensuring that healthcare providers can address the underlying issues affecting patient health. This code emphasizes the importance of considering social determinants of health in clinical practice, as they play a critical role in shaping health behaviors and access to healthcare services.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of environmental factors that can be documented
  • Need for thorough patient history to identify environmental influences
  • Potential overlap with other Z codes related to social determinants
  • Documentation must clearly link environmental issues to health outcomes

Audit Risk Factors

  • Insufficient documentation linking environmental issues to health conditions
  • Failure to specify the nature of the environmental problem
  • Inconsistent use of Z codes across different encounters
  • Lack of follow-up documentation for aftercare related to environmental issues

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include patient history regarding environmental exposures, assessments of living conditions, and any related health complaints.

Common Clinical Scenarios

Routine checkups where environmental factors are assessed, screenings for conditions related to environmental exposures, and aftercare for patients with identified environmental health issues.

Billing Considerations

Consideration of social determinants such as socioeconomic status, access to safe housing, and community resources.

Public Health

Documentation Requirements

Population-level data collection, surveillance of environmental health issues, and documentation of community health assessments.

Common Clinical Scenarios

Epidemiological studies assessing the impact of environmental factors on community health, preventive initiatives targeting at-risk populations.

Billing Considerations

Focus on reporting and tracking health status trends related to environmental conditions.

Coding Guidelines

Inclusion Criteria

Use Z58.89 When
  • Z codes are used to indicate factors influencing health status and should be sequenced appropriately
  • When coding Z58
  • 89, it is essential to document the specific environmental issue and its impact on the patient's health
  • Payer requirements may vary, so coders should verify coverage for environmental assessments and related services

Exclusion Criteria

Do NOT use Z58.89 When
No specific exclusions found.

Related CPT Codes

99401CPT Code

Preventive medicine counseling

Clinical Scenario

Used during visits where environmental health risks are discussed.

Documentation Requirements

Documentation of counseling provided regarding environmental health risks.

Specialty Considerations

Primary care providers should document the specific environmental issues addressed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding environmental health issues, enabling better tracking and management of health outcomes related to physical environments.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding environmental health issues, enabling better tracking and management of health outcomes related to physical environments.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding environmental health issues, enabling better tracking and management of health outcomes related to physical environments.

Resources

Clinical References

  • •
    CDC Environmental Health Resources

Coding & Billing References

  • •
    CDC Environmental Health Resources

Frequently Asked Questions

When should Z58.89 be used in clinical practice?

Z58.89 should be used when there are identifiable environmental factors impacting a patient's health status. It is essential to document these factors clearly to support the use of this code.