Z55.4

Educational maladjustment and discord with teachers and classmates

Billable / specificPOA exempt

Z55.4 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from Z55)

  • 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:
  • Note: (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.
  • Note: (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.

Excludes1

Not coded here — never report together with this code.

  • disorders of psychological development (F80-F89) (from Z55)

Also known as

  • Discord, classmates
  • Discord, teachers
  • Dissatisfaction with, school environment
  • Maladjustment, educational
  • Problem, conflict or discord, classmates
  • Problem, conflict or discord, teachers

Parent code

  • Z55Problems related to education and literacyHeader

Related codes

  • Z55.0Illiteracy and low-level literacyBillable
  • Z55.1Schooling unavailable and unattainableBillable
  • Z55.2Failed school examinationsBillable
  • Z55.3Underachievement in schoolBillable
  • Z55.5Less than a high school diplomaBillable
  • Z55.6Problems related to health literacyBillable
  • Z55.8Other problems related to education and literacyBillable
  • Z55.9Problems related to education and literacy, unspecifiedBillable

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