HZ42ZZZGroup Counseling for Substance Abuse Treatment, Cognitive-Behavioral
- Billable / Specific Code
HZ42ZZZ is a billable ICD-10-PCS procedure code for Group Counseling for Substance Abuse Treatment, Cognitive-Behavioral. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 895. The root operation Group Counseling involves the application of psychological methods to treat two or more individuals with addictive behavior. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Counseling for substance use.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | H | Substance Abuse Treatment |
| 2 | Body System | Z | Substance Abuse Treatment |
| 3 | Type | 4 | Group Counseling |
| 4 | Qualifier | 2 | Cognitive-Behavioral |
| 5 | Qualifier | Z | None |
| 6 | Qualifier | Z | None |
| 7 | Qualifier | Z | None |
Clinical Classification (CCSR)
AHRQ groups HZ42ZZZ into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for HZ42ZZZ under the General Equivalence Mappings.
Questions About HZ42ZZZ
Is HZ42ZZZ a billable code?
Yes. HZ42ZZZ is a complete seven-character ICD-10-PCS code, specific enough to report Group Counseling for Substance Abuse Treatment, Cognitive-Behavioral on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in HZ42ZZZ mean?
HZ42ZZZ breaks down character by character: the 1st character H is the Section (Substance Abuse Treatment); the 2nd character Z is the Body System (Substance Abuse Treatment); the 3rd character 4 is the Type (Group Counseling); the 4th character 2 is the Qualifier (Cognitive-Behavioral); the 5th character Z is the Qualifier (None); the 6th character Z is the Qualifier (None); the 7th character Z is the Qualifier (None).
What MS-DRG does HZ42ZZZ group to?
On an inpatient stay, Group Counseling for Substance Abuse Treatment, Cognitive-Behavioral maps to MS-DRG 895 (alcohol, Drug Abuse or Dependence with Rehabilitation Therapy). The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of HZ42ZZZ?
Under the General Equivalence Mappings, Group Counseling for Substance Abuse Treatment, Cognitive-Behavioral crosswalks to ICD-9-PCS 94.45 and 94.46. The mapping is approximate, so confirm it fits the documentation.
