2025 ICD-10-CM code Z77.11
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Other contact with and (suspected) exposures hazardous to health Chapter 21: Factors influencing health status and contact with health services Feed
Contact with and (suspected) exposure to environmental pollution.
Medical necessity is established by the presence of suspected or confirmed exposure to an environmental pollutant that poses a potential health risk.The encounter is medically necessary to assess the risk, provide appropriate care, or implement preventative measures.
The clinical responsibility involves assessing the patient's exposure to environmental pollutants, evaluating the potential health risks, and providing appropriate recommendations for monitoring, treatment, or preventative measures. This might include ordering tests, recommending lifestyle changes, providing counseling, or referring to specialists.
- Chapter 21: Factors influencing health status and contact with health services
- Z77-Z99: Persons with potential health hazards related to family and personal history and certain conditions influencing health status
In simple words: This code means the patient came to the doctor because they might have been exposed to something harmful in the environment, like air or water pollution.
This code is used to classify encounters for contact with or suspected exposure to environmental pollution.It signifies a reason for the encounter, not a disease itself. A procedure code should accompany this code if a procedure was performed.This code is part of a broader category encompassing other potential health hazards related to environmental exposures.
Example 1: A patient presents to the emergency department after a chemical spill at their workplace.The patient reports symptoms consistent with exposure to hazardous chemicals. Z77.11 is used to code the encounter., A child is brought to the pediatrician after living near an industrial facility known to release air pollutants. The child shows symptoms of respiratory irritation. Z77.11 is used to code the encounter., A community health clinic conducts a screening program for residents near a recently discovered contaminated water source. Individuals with suspected water pollution exposure are coded with Z77.11.
Detailed documentation should include the specific environmental pollutant(s) involved, the nature and duration of exposure, any observed symptoms, and any diagnostic tests performed (e.g., blood tests, environmental assessments).A clear description of the circumstances surrounding the exposure is necessary for proper coding.
** Z77.11 is used to code encounters related to suspected or actual exposure to environmental pollution.It's crucial to differentiate this from other codes that represent specific diseases or conditions caused by environmental exposures.
- Payment Status: Active
- Specialties:Occupational Medicine, Environmental Health, Public Health, Emergency Medicine, Family Medicine
- Place of Service:Office, Emergency Room - Hospital, Urgent Care Facility, Community Health Center, Outpatient Hospital