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v1.0.0
ICD-10 Guide
ICD-10 CodesZ57.0

Z57.0

Occupational exposure to noise

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

Code Description

ICD-10 Z57.0 is a billable code used to indicate a diagnosis of occupational exposure to noise.

Key Diagnostic Point:

Z57.0 refers to occupational exposure to noise, which is a significant health concern in various industries, particularly those involving heavy machinery, construction, and manufacturing. Chronic exposure to high noise levels can lead to hearing loss, increased stress levels, and other health complications. Social determinants of health, such as socioeconomic status, education, and workplace safety regulations, play a crucial role in the risk of exposure. Preventive measures include regular hearing screenings, employee education on noise hazards, and the use of personal protective equipment (PPE). Screening for hearing loss should be part of routine occupational health assessments, especially for workers in high-risk environments. Aftercare may involve audiological evaluations and rehabilitation services for those affected. Proper documentation of exposure history and preventive measures taken is essential for accurate coding and to ensure compliance with workplace safety regulations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of occupational exposure history
  • Variability in workplace safety regulations across industries
  • Potential for co-morbid conditions related to noise exposure
  • Requirement for preventive care documentation

Audit Risk Factors

  • Inadequate documentation of exposure levels and duration
  • Failure to link Z57.0 with relevant clinical conditions
  • Lack of preventive care records
  • Improper sequencing of Z codes with primary diagnoses

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include patient history of occupational exposure, results of hearing screenings, and any preventive measures taken.

Common Clinical Scenarios

Routine checkups for workers in high-noise environments, follow-up visits for hearing assessments.

Billing Considerations

Consideration of social determinants such as access to healthcare and workplace safety policies.

Public Health

Documentation Requirements

Documentation should focus on population-level data regarding noise exposure and health outcomes.

Common Clinical Scenarios

Epidemiological studies on noise-related health issues, community health assessments.

Billing Considerations

Tracking health status trends in populations exposed to occupational noise.

Coding Guidelines

Inclusion Criteria

Use Z57.0 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • 0 should be used when documenting occupational exposure to noise, particularly when it is relevant to the patient's health status or treatment plan
  • It is important to sequence Z codes appropriately, typically following the primary diagnosis

Exclusion Criteria

Do NOT use Z57.0 When
No specific exclusions found.

Related CPT Codes

92551CPT Code

Screening test for hearing loss

Clinical Scenario

Used during routine checkups for workers exposed to noise.

Documentation Requirements

Document the reason for screening and any findings.

Specialty Considerations

Primary care providers should ensure comprehensive documentation of occupational history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has improved specificity for Z codes, allowing for better tracking of occupational exposures and their health impacts.

ICD-9 vs ICD-10

The transition to ICD-10 has improved specificity for Z codes, allowing for better tracking of occupational exposures and their health impacts.

Reimbursement & Billing Impact

The transition to ICD-10 has improved specificity for Z codes, allowing for better tracking of occupational exposures and their health impacts.

Resources

Clinical References

  • •
    Occupational Safety and Health Administration (OSHA) Guidelines

Coding & Billing References

  • •
    Occupational Safety and Health Administration (OSHA) Guidelines

Frequently Asked Questions

When should Z57.0 be used in a clinical setting?

Z57.0 should be used when a patient has a documented history of occupational noise exposure that may impact their health, particularly in relation to hearing loss or other related conditions.