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 CodesZ57.1

Z57.1

Occupational exposure to radiation

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

Code Description

ICD-10 Z57.1 is a billable code used to indicate a diagnosis of occupational exposure to radiation.

Key Diagnostic Point:

Z57.1 refers to occupational exposure to radiation, which is a significant health concern for workers in various industries, including healthcare, nuclear energy, and manufacturing. This code captures the health risks associated with prolonged exposure to ionizing radiation, which can lead to acute and chronic health issues, including cancer. Social determinants of health, such as workplace safety regulations, access to protective equipment, and health monitoring programs, play a crucial role in mitigating these risks. Preventive care includes regular health screenings for early detection of radiation-related conditions, education on safe practices, and monitoring of exposure levels. Aftercare may involve ongoing health assessments and interventions for those affected by radiation exposure, emphasizing the importance of comprehensive health services in managing these risks.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of occupational exposure history
  • Variability in exposure levels and health outcomes
  • Potential for co-morbid conditions requiring additional coding
  • Regulatory compliance and workplace safety documentation

Audit Risk Factors

  • Inadequate documentation of exposure levels and duration
  • Failure to link Z57.1 with relevant health conditions
  • Misclassification of exposure type or source
  • Lack of preventive care documentation

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation should include patient history of occupational exposure, preventive screenings, and any symptoms or conditions related to radiation exposure.

Common Clinical Scenarios

Routine checkups for workers exposed to radiation, follow-up visits for monitoring health status, and screenings for radiation-induced conditions.

Billing Considerations

Consideration of social determinants such as access to healthcare, workplace safety policies, and patient education on radiation risks.

Public Health

Documentation Requirements

Documentation should focus on population-level exposure data, health surveillance reports, and preventive measures implemented in workplaces.

Common Clinical Scenarios

Epidemiological studies assessing health outcomes in populations exposed to radiation, community health initiatives aimed at reducing exposure.

Billing Considerations

Emphasis on tracking health status trends and the effectiveness of public health interventions.

Coding Guidelines

Inclusion Criteria

Use Z57.1 When
  • Z codes are used to indicate factors influencing health status and contact with health services
  • 1 should be sequenced appropriately, typically as a secondary diagnosis when a related health condition is present
  • Payer requirements may vary, so it's essential to verify coverage for preventive services related to occupational exposure

Exclusion Criteria

Do NOT use Z57.1 When
No specific exclusions found.

Related CPT Codes

99385CPT Code

Initial preventive medicine evaluation and management, new patient

Clinical Scenario

Used for preventive health assessments in patients with occupational exposure to radiation.

Documentation Requirements

Documentation of exposure history and preventive measures taken.

Specialty Considerations

Primary care providers should focus on comprehensive health evaluations and education.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding occupational exposures, enhancing the ability to track and manage health outcomes related to radiation exposure.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding occupational exposures, enhancing the ability to track and manage health outcomes related to radiation exposure.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding occupational exposures, enhancing the ability to track and manage health outcomes related to radiation exposure.

Resources

Clinical References

  • •
    Occupational Safety and Health Administration (OSHA) Guidelines

Coding & Billing References

  • •
    Occupational Safety and Health Administration (OSHA) Guidelines

Frequently Asked Questions

What documentation is required to support the use of Z57.1?

Documentation should include a detailed history of occupational exposure, any symptoms or health conditions related to radiation, and records of preventive care and screenings performed.