Z55

Z55: Problems related to education and literacy

Non-billable headerICD-10-CM

Z55 is a non-billable header ICD-10-CM code for problems related to education and literacy. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

disorders of psychological development (F80-F89)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z55

9 child codes. Green means billable.

Z55.0Illiteracy and low-level literacy
Z55.1Schooling unavailable and unattainable
Z55.2Failed school examinations
Z55.3Underachievement in school
Z55.4Educational maladjustment and discord with teachers and classmates
Z55.5Less than a high school diploma
Z55.6Problems related to health literacy
Z55.8Other problems related to education and literacy
Z55.9Problems related to education and literacy, unspecified