October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

Z56 Problems related to employment and unemployment

All 11 codes in the Z56 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

11

Can lead a claim

0

Cannot lead a claim

11

What CMS assigns to Z56

None of the 11 codes is assigned a clinical group. None of the 11 is assigned a comorbidity subgroup. None can lead a claim.

Every code in Z56

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z56.0Unemployment, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z56.1Change of jobCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z56.2Threat of job lossCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z56.3Stressful work scheduleCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z56.4Discord with boss and workmatesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z56.5Uncongenial work environmentCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z56.6Other physical and mental strain related to workCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z56.8 Other problems related to employment
Z56.81Sexual harassment on the jobCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z56.82Military deployment statusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z56.89Other problems related to employmentCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z56.9Unspecified problems related to employmentCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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