ICD-10-CM Code Z71.89

Other specified counseling

Version 2020 Replaced Code Billable Code Unacceptable Principal Diagnosis POA Exempt

Valid for Submission

Z71.89 is a billable code used to specify a medical diagnosis of other specified counseling. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z71.89 might also be used to specify conditions or terms like abuse counseling for non-offending parent, advance directive discussed with patient, advice given about pelvic floor exercise, advised risk of deep vein thrombosis in air travel, advised to abstain from alcohol consumption, advised to attend for retinal screening, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z71.89 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

Short Description:Other specified counseling
Long Description:Other specified counseling

Replaced Code

This code was replaced in the 2020 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • Z71.82 - Exercise counseling
  • Z71.84 - Encounter for health counseling related to travel

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z71.89 are found in the index:

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • 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.


The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abuse counseling for non-offending parent
  • Advance directive discussed with patient
  • Advice given about pelvic floor exercise
  • Advised risk of deep vein thrombosis in air travel
  • Advised to abstain from alcohol consumption
  • Advised to attend for retinal screening
  • Advised to contact dental service
  • Advised to contact pharmacist
  • Advised to contact police
  • Advised to contact social worker
  • Advised to maintain supply of blood ketone test strips
  • Assessment of caregiver behavior
  • Assessment of caregiver beliefs
  • Assessment of caregiver knowledge of instruction manual
  • Assessment of caregiver stress
  • Assessment of family readiness for self-management
  • Caregiver focused education and support program
  • Children reassured
  • Counseled about self-help group
  • Diabetic education completed
  • Discussed with caregiver
  • Discussed with caregiver
  • Discussed with patient
  • Discussed with pharmacist
  • Discussion about advance care planning with caregiver
  • Discussion about advance care planning with family member
  • Discussion about treatment with caregiver
  • Educated about antimalarial prophylaxis
  • Educated about Influenza A virus subtype H1N1 infection
  • Educated about screening for malignant neoplasm of prostate
  • Educated about wound care
  • Educating guardian of subject
  • Education of caregiver
  • Education of caregiver
  • Education of caregiver
  • Education of caregiver
  • Education of caregiver about infant weaning
  • Education of caregiver about toilet training
  • Education of community about disease
  • Education with explicit context
  • Falls advice - hip protectors advised
  • Family counseled
  • Family education about administration of blood product
  • Family education about community services
  • Family education about delirium
  • Family education about device
  • Family education about disease
  • Family education about electrolyte therapy
  • Family education about fall prevention
  • Family education about fluid balance
  • Family education about fluid therapy
  • Family education about health seeking behavior
  • Family education about hygiene
  • Family education about infant development
  • Family education about infection prevention
  • Family education about light therapy
  • Family education about monitoring respiratory status
  • Family education about pain management
  • Family education about prevention of cross infection
  • Family education about sepsis
  • Family education about susceptibility to infection
  • Family education about thermoregulation
  • Family education about transfer technique
  • Family education about treatment regime
  • Family education regarding procedure following death of relative
  • Family/carer attended diabetes structured education program
  • Head injury advice given
  • Influenza immunization advised
  • Influenza vaccination status
  • Last days of life discussed
  • Medication discussed with pharmacist
  • Neighbor reassured
  • Pain management education for family
  • Pain management education of caregiver
  • Patient advised about anti-malaria prophylaxis
  • Patient advised about driving
  • Patient advised about exercise
  • Patient advised about exposure to the sun
  • Patient advised about prostate cancer screening
  • Patient advised about the need for insect repellent
  • Patient advised not to drive
  • Patient advised of caregiver legal rights
  • Patient advised to buy medical kit
  • Patient advised to have pregnancy test
  • Patient advised to inform DVLA
  • Patient advised to inform insurance company
  • Patient advised to review package of care
  • Patient advised to see solicitor
  • Patient advised to use sunblock
  • Patient given advice about management of depression
  • Patient given telephone advice during surgery hours
  • Patient given telephone advice out of hours
  • Patient given verbal advice
  • Patient given written advice
  • Patient given written advice on benefits of physical activity
  • Pneumococcal immunization advised in surgery
  • Provision of anticipatory guidance to family
  • Reassurance given
  • Recommended to maintain supply of blood ketone test strips
  • Relative counseled
  • Relatives reassured
  • Requires additional education about peritoneal dialysis
  • Spouse reassured
  • Training carer to support symbolic play
  • Usual warning given

Present on Admission (POA)

Z71.89 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z71.89 to ICD-9

  • V65.49 - Other specfd counseling (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services in other circumstances (Z69-Z76)
      • Persons encntr health serv for oth cnsl and med advice, NEC (Z71)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020