2026 ICD-10-CM Diagnosis Code Z70.1Counseling related to patient's sexual behavior and orientation

ICD-10-CM Codes›Z00–Z99›Z69-Z76›Z70

ICD-10-CM Z70.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z70.1 is a billable ICD-10-CM diagnosis code for counseling related to patient's sexual behavior and orientation. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as sexual orientation confusion. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Counseling related to sexual behavior or orientation.

Code Identity

ICD-10-CM Code
Z70.1
Billable Status
Yes — Valid for Submission
Code Describes
Counseling related to patient's sexual behavior and orientation
Short Description
Counseling related to patient's sexual behavior and orientn
Parent Code
Z70
Counseling related to sexual attitude, behavior and orientation

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ69-Z76Persons encountering health services in other circumstances
CategoryZ70Counseling related to sexual attitude, behavior and orientation
This CodeZ70.1Counseling related to patient's sexual behavior and orientation

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z70.1.

Unacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Present on Admission (POA)Billing

Z70.1 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Sexual orientation confusion

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Patient concerned regarding impotence
  • Patient concerned regarding non-responsiveness
  • Patient concerned regarding promiscuity
  • Patient concerned regarding sexual orientation

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Counseling(for)
      • impotence
    • Counseling(for)
      • promiscuity
    • Counseling(for)
      • sex, sexual (related to)
        • behavior or orientation
    • Counseling(for)
      • sex, sexual (related to)
        • non-responsiveness
    • Impotence(sexual)
      • counseling

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC011
Counseling related to sexual behavior or orientation
Default principal diagnosis: inpatient No · outpatient Yes

Patient EducationClinical

Sexual Health

Sexuality is a big part of being human. Love, affection and sexual intimacy all play a role in healthy relationships. They also contribute to your sense of well-being. A number of disorders can affect the ability to have or enjoy sex in both men and women.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z70.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V65.49 Other specfd counseling
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z70.1Overview

Is Z70.1 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report counseling related to patient's sexual behavior and orientation on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can Z70.1 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because counseling related to patient's sexual behavior and orientation describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z70.1 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for counseling related to patient's sexual behavior and orientation on inpatient claims.

What is the ICD-9 equivalent of Z70.1?

Under the General Equivalence Mappings, counseling related to patient's sexual behavior and orientation converts to ICD-9-CM V65.49 (other specfd counseling). The mapping is approximate, so confirm the match fits the documentation.