HZ43ZZZGroup Counseling for Substance Abuse Treatment, 12-Step
- Billable / Specific Code
HZ43ZZZ is a billable ICD-10-PCS procedure code for Group Counseling for Substance Abuse Treatment, 12-Step. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The root operation Group Counseling involves the application of psychological methods to treat two or more individuals with addictive behavior.
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 | 3 | 12-Step |
| 5 | Qualifier | Z | None |
| 6 | Qualifier | Z | None |
| 7 | Qualifier | Z | None |
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for HZ43ZZZ under the General Equivalence Mappings.
Questions About HZ43ZZZ
Is HZ43ZZZ a billable code?
Yes. HZ43ZZZ is a complete seven-character ICD-10-PCS code, specific enough to report Group Counseling for Substance Abuse Treatment, 12-Step on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in HZ43ZZZ mean?
HZ43ZZZ 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 3 is the Qualifier (12-Step); 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 is the ICD-9-PCS equivalent of HZ43ZZZ?
Under the General Equivalence Mappings, Group Counseling for Substance Abuse Treatment, 12-Step crosswalks to ICD-9-PCS 94.45 and 94.46. The mapping is approximate, so confirm it fits the documentation.
