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Z55.3

Billable

Underachievement in school

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A student is not performing at the expected academic level for their age or grade despite having the ability to do so.

Coding Tips

  • •Distinguish from Z55.2 (failed exams) - this code indicates capability without achievement
  • •May indicate need for educational evaluation or intervention

Code Hierarchy

└Z55Problems related to education and literacy└Z55.3Underachievement in school
└Z55.3Underachievement in school

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