ICD-10 Code for Counseling

The default ICD-10-CM 2027 code for counseling (for) is Z71.9 – Counseling, unspecified. More specific codes depend on the details documented, as listed in the official index (42 codes, 42 billable).

Main code: Z71.9 – Counseling, unspecified
Billable: Yes

Index entries for Counseling

abuse NEC
- perpetrator – Z69.82
- victim – Z69.81
alcohol abuser – Z71.41
- family – Z71.42
child abuse
- nonparental
  - perpetrator – Z69.021
  - victim – Z69.020
- parental
  - perpetrator – Z69.011
  - victim – Z69.010
consanguinity – Z71.89
contraceptive – Z30.09
dietary – Z71.3
drug abuser – Z71.51
- family member – Z71.52
exercise – Z71.82
family – Z71.89
fertility preservation (prior to cancer therapy) (prior to removal of gonads) – Z31.62
for non-attending third party – Z71.0
- related to sexual behavior or orientation – Z70.2
genetic
- nonprocreative – Z71.83
- procreative NEC – Z31.5
gestational carrier – Z31.7
health (advice) (education) (instruction) – see Counseling, medical
- risk for travel (international) – Z71.84
human immunodeficiency virus (HIV) – Z71.7
immunization safety – Z71.85
impotence – Z70.1
insulin pump use – Z46.81
medical (for) – Z71.9
- boarding school resident – Z59.3
- consanguinity – Z71.89
- feared complaint and no disease found – Z71.1
- human immunodeficiency virus (HIV) – Z71.7
- institutional resident – Z59.3
- on behalf of another – Z71.0
  - related to sexual behavior or orientation – Z70.2
- person living alone – Z60.2 – see also Consultation, specified reason NEC
- specified reason NEC – Z71.89
natural family planning
- procreative – Z31.61
- to avoid pregnancy – Z30.02
pediatric-to-adult transition – Z71.87
perpetrator (of)
- abuse NEC – Z69.82
- child abuse
  - non-parental – Z69.021
  - parental – Z69.011
- rape NEC – Z69.82
- spousal abuse – Z69.12
procreative NEC – Z31.69
- fertility preservation (prior to cancer therapy) (prior to removal of gonads) – Z31.62
- using natural family planning – Z31.61
promiscuity – Z70.1
rape victim – Z69.81
religious – Z71.81
safety for travel (international) – Z71.84
sex, sexual (related to) – Z70.9
- attitude (s) – Z70.0
- behavior or orientation – Z70.1
- combined concerns – Z70.3
- non-responsiveness – Z70.1
- on behalf of third party – Z70.2
- specified reason NEC – Z70.8
socioeconomic factors – Z71.88
specified reason NEC – Z71.89
spiritual – Z71.81
spousal abuse (perpetrator) – Z69.12
- victim – Z69.11
substance abuse – Z71.89
- alcohol – Z71.41
- drug – Z71.51
- tobacco – Z71.6
tobacco use – Z71.6
travel (international) – Z71.84
use (of)
- insulin pump – Z46.81
vaccine product safety – Z71.85
victim (of)
- abuse – Z69.81
- child abuse
  - by parent – Z69.010
  - non-parental – Z69.020
- rape NEC – Z69.81

How to choose the right code

Start with the main term, then pick the indented subterm that matches the documentation (type, cause, site, laterality, episode of care). Always confirm the code in the tabular list: follow its Excludes1/Excludes2, “code first” and “use additional code” notes, and add a 7th character where required.

Source: CDC/NCHS ICD-10-CM FY2027 alphabetic index.