Z58.6

Inadequate drinking-water supply

FY2027Chapter 21: Factors influencing health status and contact with health services/Z55–Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances

BillableComplete code, valid to report

Z58.6 (also written Z586) is a billable ICD-10-CM diagnosis code for inadequate drinking-water supply. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 3 codes in category Z58 (Problems related to physical environment). The Alphabetic Index lists it under 4 entries. Its coding notes include 2 Excludes2 entries.

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • deprivation of water (T73.1)
Inherited from Z58 Problems related to physical environment
  • occupational exposure (Z57.-)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Hospice: not accepted as primary

Not accepted as the principal diagnosis on a hospice claim (bill types 081x and 082x). The Integrated OCE returns an edit for this code.
Reason: Supplementary or additional code, not allowed as principal diagnosis.

Source: CMS Integrated Outpatient Code Editor (IOCE) v27.3, effective October 1, 2026, edit 113

Inclusion terms

Conditions classified to this code.

This code
  • Lack of safe drinking water

Notes

Also from chapter/block level (3 notes)
Inherited from Chapter 21 Factors influencing health status and contact with health services
  • 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.

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 4 entries