2025 ICD-10-CM code Z57.39
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons with potential health hazards related to socioeconomic and psychosocial circumstances Chapter 21: Factors Influencing Health Status and Contact with Health Services Feed
Occupational exposure to other air contaminants.
Modifiers might be applicable to procedural codes used in conjunction with Z57.39, depending on the specifics of the service rendered. Consult the appropriate modifier guidelines for details.
Medical necessity is established by documentation of occupational exposure to hazardous airborne substances and the presence of symptoms or clinical findings attributable to this exposure.This necessitates evaluation, diagnosis, and appropriate treatment to prevent further health complications.
The clinical responsibility depends on the specific symptoms and conditions resulting from the exposure. This could include, but is not limited to, evaluation, diagnosis, treatment, and management of respiratory problems, skin conditions, or other health effects associated with the inhaled contaminants. Specialist consultation (e.g., pulmonologist, occupational health specialist, dermatologist) may be needed.
- Chapter 21: Factors Influencing Health Status and Contact with Health Services
- Z55-Z65 (Persons with potential health hazards related to socioeconomic and psychosocial circumstances)
In simple words: This code is used when someone has been exposed to harmful substances in the air at work.It's used to record why they are seeing a doctor, and a separate code may be used if the doctor did something, like tests or gave medicine.
This ICD-10-CM code signifies occupational exposure to unspecified air contaminants.It's used when a patient presents for evaluation or treatment related to exposure to harmful airborne substances in their workplace, excluding those specifically listed elsewhere in the ICD-10-CM classification.The code is appropriate for documenting the reason for the encounter and may be used as a principal or secondary diagnosis depending on the clinical circumstances.A procedure code should accompany this code if any procedure was performed.
Example 1: A construction worker presents to the clinic complaining of shortness of breath and cough after working on a demolition site with suspected asbestos exposure. Z57.39 would be used to code the occupational exposure, and additional codes for the respiratory symptoms (e.g., J45.9 - Unspecified chronic obstructive pulmonary disease) would be included., A factory worker experiences skin irritation and rash believed to be caused by exposure to chemical fumes in the workplace.The physician documents the occupational exposure with Z57.39, and adds appropriate codes for the dermatologic findings (e.g., L23.9 -Other specified dermatitis)., A miner presents with chronic lung disease following years of exposure to coal dust in the mine. The occupational exposure is coded as Z57.39, alongside codes representing the specific lung disease (e.g., J45.9 - Unspecified chronic obstructive pulmonary disease, J65.9 - unspecified pneumoconiosis).
Complete medical history including occupational history, detailed description of the workplace environment, including specifics on potential air contaminants, a complete physical examination addressing all reported symptoms, results of any diagnostic tests (e.g., pulmonary function tests, blood tests, skin biopsies), and details of any treatment provided.
** This code is very broad and should be used cautiously. More specific codes should be used whenever possible.Always cross-reference with the official ICD-10-CM guidelines and coding manuals for the most up-to-date information.
- Payment Status: Active
- Modifier TC rule: Not applicable to Z57.39, as this is a diagnosis code. Modifier rules apply only to procedure codes.
- Specialties:Occupational Medicine, Pulmonary Medicine, Dermatology
- Place of Service:Office, Clinic, Hospital (Inpatient or Outpatient), Urgent Care Facility