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    v1.0.28
    OpenPayerBilling CodesPersons with potential health hazards related to socioeconomic and psychosocial circumstancesICD-10-CM z58-problems-related-to-physical-environment
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    ICD-10-CM Code For Problems Related To Physical Environment: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group Z58 includes diagnoses describing health problems caused by or related to physical environmental exposures, such as extreme temperature, air pollution, and lack of adequate insulation or sanitation. These ICD-10-CM diagnosis codes are used to document environmental contributors to a patient’s condition, capturing contextual factors that may influence disease severity, complications, or care needs. Accurate coding within the ICD-10-CM Z58 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM Z58: Problems Related To Physical Environment Overview

    The ICD-10-CM Z58 code group captures problems related to an individual’s physical environment that may affect health, such as exposure to extreme temperatures, air pollution, and other environmental hazards. These codes target environmental and external factors rather than a specific organ system, and are used alongside clinical diagnoses to document contributing circumstances. Accurate coding matters for complete clinical records and supports appropriate reimbursement by clarifying nonmedical factors affecting care.

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    When to Use

    Use a code from this group when a clinician documents that a patient’s presentation, symptoms, or health risk is related to a specific physical environmental exposure or hazard. These codes are applied in addition to clinical diagnoses to capture contextual factors influencing care, treatment planning, or public health reporting.

    ICD-10-CM Codes

    3 rows

    ICD-10-CM CodeDescription
    Z58.6Inadequate drinking-water supply
    Z58.81Basic services unavailable in physical environment
    Z58.89Other problems related to physical environment

    DRG Codes

    1 rows

    DRG CodeDescription
    951Other Factors Influencing Health Status

    Typical Clinical Scenarios

    • An elderly patient with limited mobility lives in a poorly heated apartment and presents to primary care in winter with exacerbation of chronic obstructive pulmonary disease and symptoms of hypothermia risk; the visit documents prolonged exposure to cold indoor environment due to inadequate heating as a contributing factor to the respiratory decompensation, so a code from this group is assigned to capture the environmental exposure. Typical codes: Z58.6
    • A factory worker in their 40s reports progressive hearing difficulty and intermittent tinnitus at an occupational health visit after years of working in a high-noise manufacturing line without adequate hearing protection; the clinician documents ongoing exposure to excessive occupational noise as a social/environmental hazard impacting health, prompting assignment of the relevant code. Typical codes: Z58.81
    • A homeless adult with poorly controlled diabetes is admitted for a foot infection; social history reveals prolonged exposure to unsanitary outdoor living conditions and extreme environmental stressors that complicate wound care and healing, so an environmental exposure code from this group is included to reflect the role of the physical environment as a complicating factor. Typical codes: Z58.89

    Related Codes

    Z55-PROBLEMS-RELATED-TO-EDUCATION-AND-LITERACY

    ICD-10-CM Code For Problems Related To Education And Literacy: Group Overview

    Z56-PROBLEMS-RELATED-TO-EMPLOYMENT

    ICD-10-CM Code For Problems Related To Employment And Unemployment: Group Overview

    Z57-OCCUPATIONAL-EXPOSURE-TO-RISK-FACTORS

    ICD-10-CM Code For Occupational Exposure To Risk Factors: Group Overview

    Z59-PROBLEMS-RELATED-TO-HOUSING-AND-ECONOMIC-CIRCUMSTANCES

    ICD-10-CM Code For Problems Related To Housing And Economic Circumstances: Group Overview

    Z60-PROBLEMS-RELATED-TO-SOCIAL-ENVIRONMENT

    ICD-10-CM Code For Problems Related To Social Environment: Group Overview

    Z62-PROBLEMS-RELATED-TO-UPBRINGING

    ICD-10-CM Code For Problems Related To Upbringing: Group Overview

    Z63-OTHER-PROBLEMS-RELATED-TO-PRIMARY-SUPPORT-GROUP

    ICD-10-CM Code For Other Problems Related To Primary Support Group Including Family Circumstances: Group Overview

    Z64-PROBLEMS-RELATED-TO-PSYCHOSOCIAL-CIRCUMSTANCES

    ICD-10-CM Code For Problems Related To Certain Psychosocial Circumstances: Group Overview

    Z65-PROBLEMS-RELATED-TO-PSYCHOSOCIAL-CIRCUMSTANCES

    ICD-10-CM Code For Problems Related To Other Psychosocial Circumstances: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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