2023 ICD-10-CM Diagnosis Code Z56.4

Discord with boss and workmates

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • Z56.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM Z56.4 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z56.4 - other international versions of ICD-10 Z56.4 may differ.
The following code(s) above Z56.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z56.4:
  • Z00-Z99
    2023 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z56
    ICD-10-CM Diagnosis Code Z56

    Problems related to employment and unemployment

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • occupational exposure to risk factors (Z57.-)
    • problems related to housing and economic circumstances (Z59.-)
    Problems related to employment and unemployment
Approximate Synonyms
  • Discord in the workplace
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z56.4 is considered exempt from POA reporting.
ICD-10-CM Z56.4 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 951 Other factors influencing health status

Convert Z56.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change

Diagnosis Index entries containing back-references to Z56.4:
  • Discord (with)
    • boss Z56.4
    • employer Z56.4
    • fellow employees Z56.4
    • workmates Z56.4
  • Problem (with) (related to)
    • conflict or discord (with)
      • boss Z56.4
      • employer Z56.4
      • workmates Z56.4
    • employment Z56.9
      ICD-10-CM Diagnosis Code Z56.9

      Unspecified problems related to employment

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
      Applicable To
      • Occupational problems NOS
      • discord Z56.4

ICD-10-CM Codes Adjacent To Z56.4
Z55.3 Underachievement in school
Z55.4 Educational maladjustment and discord with teachers and classmates
Z55.5 Less than a high school diploma
Z55.8 Other problems related to education and literacy
Z55.9 Problems related to education and literacy, unspecified
Z56 Problems related to employment and unemployment
Z56.0 Unemployment, unspecified
Z56.1 Change of job
Z56.2 Threat of job loss
Z56.3 Stressful work schedule
Z56.4 Discord with boss and workmates
Z56.5 Uncongenial work environment
Z56.6 Other physical and mental strain related to work
Z56.8 Other problems related to employment
Z56.81 Sexual harassment on the job
Z56.82 Military deployment status
Z56.89 Other problems related to employment
Z56.9 Unspecified problems related to employment
Z57 Occupational exposure to risk factors
Z57.0 Occupational exposure to noise
Z57.1 Occupational exposure to radiation

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.