HZ53ZZZIndividual Psychotherapy for Substance Abuse Treatment, 12-Step

Substance Abuse Treatment›Substance Abuse Treatment›Individual Psychotherapy
  • Billable / Specific Code
ICD-10-PCS HZ53ZZZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

HZ53ZZZ is a billable ICD-10-PCS procedure code for Individual Psychotherapy 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 Individual Psychotherapy involves treatment of an individual with addictive behavior by behavioral, cognitive, psychoanalytic, psychodynamic or psychophysiological means.

Code Identity

ICD-10-PCS Code
HZ53ZZZ
Billable Status
Yes — Valid for Submission
Code Describes
Individual Psychotherapy for Substance Abuse Treatment, 12-Step
Parent Code
HZ5
Short Description
Indiv Psychotherapy for Substance Abuse Treatment, 12 Step

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.

PositionDesignationValueMeaning
1SectionHSubstance Abuse Treatment
2Body SystemZSubstance Abuse Treatment
3Type5Individual Psychotherapy
4Qualifier312-Step
5QualifierZNone
6QualifierZNone
7QualifierZNone

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for HZ53ZZZ under the General Equivalence Mappings.

94.61
Approximate match.
94.64
Approximate match.

Questions About HZ53ZZZ

Is HZ53ZZZ a billable code?

Yes. HZ53ZZZ is a complete seven-character ICD-10-PCS code, specific enough to report Individual Psychotherapy for Substance Abuse Treatment, 12-Step on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in HZ53ZZZ mean?

HZ53ZZZ 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 5 is the Type (Individual Psychotherapy); 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 HZ53ZZZ?

Under the General Equivalence Mappings, Individual Psychotherapy for Substance Abuse Treatment, 12-Step crosswalks to ICD-9-PCS 94.61 and 94.64. The mapping is approximate, so confirm it fits the documentation.