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v1.0.0
ICD-10 Guide
ICD-10 CodesZ56.1

Z56.1

Change of job

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

Code Description

ICD-10 Z56.1 is a billable code used to indicate a diagnosis of change of job.

Key Diagnostic Point:

Z56.1 is used to indicate a change of job, which can significantly influence an individual's health status and access to healthcare services. Employment transitions can lead to various psychosocial factors, including stress, anxiety, and changes in social support systems. These factors can impact health outcomes and necessitate preventive care and screenings to address potential health risks associated with job changes. For instance, individuals may experience increased stress levels that could lead to mental health concerns or chronic conditions. Preventive care, such as stress management programs and health screenings, becomes crucial during this transition. Additionally, understanding the social determinants of health, such as economic stability and social support, is essential for healthcare providers to offer comprehensive care and resources to patients undergoing job changes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of job change impact on health
  • Need for comprehensive assessment of psychosocial factors
  • Potential overlap with other Z codes related to employment
  • Documentation of preventive care needs may vary by specialty

Audit Risk Factors

  • Inadequate documentation linking job change to health status
  • Failure to capture psychosocial assessments
  • Misuse of Z56.1 when a more specific diagnosis is applicable
  • Lack of preventive care documentation related to job change

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include assessments of mental health, stress levels, and any preventive care measures taken.

Common Clinical Scenarios

Routine checkups where job change is discussed, screenings for stress-related conditions, and aftercare for mental health support.

Billing Considerations

Consideration of social determinants such as economic stability and support systems is crucial.

Public Health

Documentation Requirements

Population-level data on job changes and their health impacts, including surveillance of stress-related health outcomes.

Common Clinical Scenarios

Epidemiological studies assessing the health impacts of job changes in specific populations.

Billing Considerations

Focus on tracking health status changes in relation to employment trends.

Coding Guidelines

Inclusion Criteria

Use Z56.1 When
  • Z codes should be used when a patient presents with a health issue that is influenced by social factors, such as a job change
  • It is important to sequence Z codes appropriately, often as secondary diagnoses, following any primary diagnosis
  • Payer requirements may vary, so it is essential to verify coverage for preventive services linked to job changes

Exclusion Criteria

Do NOT use Z56.1 When
No specific exclusions found.

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used when a patient discusses lifestyle changes related to job stress.

Documentation Requirements

Document the counseling session and its relation to job change.

Specialty Considerations

Primary care providers should assess the impact of job change on smoking habits.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding, enabling coders to capture the nuances of job changes and their health impacts more accurately than in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding, enabling coders to capture the nuances of job changes and their health impacts more accurately than in ICD-9.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    Preventive Services Task Force Recommendations

Coding & Billing References

  • •
    Preventive Services Task Force Recommendations

Frequently Asked Questions

When should Z56.1 be used in clinical practice?

Z56.1 should be used when a patient presents with health issues that are directly related to a change of job, particularly when psychosocial factors are involved. It is important to document the impact of the job change on the patient's health and any preventive care measures taken.