2027 ICD-10-CM Diagnosis Code Z71.89Other specified counseling
Z71.89 is a billable ICD-10-CM diagnosis code for other specified counseling. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 951. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified encounters and counseling.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for Z71.89.
Present on Admission (POA)Billing
Z71.89 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Persons encountering health services in other circumstances (Z69-Z76).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abuse counseling for non-offending parent
- Advance healthcare directive discussed with patient
- Advice given about breast screening program
- 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 police
- Advised to contact social worker
- Assessment of caregiver behavior
- Assessment of caregiver beliefs
- Assessment of caregiver knowledge
- 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 patient
- Discussion about advance care planning with caregiver
- Discussion about advance care planning with family member
- Discussion about care plan with family
- Discussion about treatment with caregiver
- Educated about antimalarial prophylaxis
- Educated about health benefits of safe exposure to sun
- Educated about Influenza A virus subtype H1N1 infection
- Educated about risk of exposure to sun
- Educated about screening for malignant neoplasm of prostate
- Educated about wound care
- Educating guardian of subject
- Educating parent of subject
- Education of caregiver
- Education of caregiver about infant weaning
- Education of caregiver about toilet training
- Education of community about disease
- Education of family about impaired cognition
- Education of family about sleep
- Education of parent about trauma therapy
- Education with explicit context
- Falls advice - hip protectors advised
- Family counseled
- Family education about administration of blood product
- Family education about Adverse Childhood Experience questionnaire score
- 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
- Head injury advice given
- Last days of life discussed
- Neighbor reassured
- Pain management education for family
- Pain management education of caregiver
- Partner reassured
- Patient advised about anti-malaria prophylaxis
- Patient advised about driving
- Patient advised about exercise
- 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 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
- Providing reassurance to child
- Providing reassurance to family
- Providing reassurance to parent
- Providing reassurance to partner
- Providing reassurance to spouse
- Provision of anticipatory guidance to family
- Provision of support for self management to caregiver
- Reassurance given
- Recommended to maintain supply of blood ketone test strips
- Relative counseled
- Relatives reassured
- Requires additional education about peritoneal dialysis
- Spouse reassured
- Subject advised to avoid crowds
- Training carer to support symbolic play
- Usual warning given
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to Z71.89: its own notes plus those printed at Z71.8, Z71, and Chapter 21. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
counseling Z71.89
consanguinity Z71.89
family Z71.89
consanguinity Z71.89
specified reason NEC Z71.89
specified reason NEC Z71.89
substance abuse Z71.89
medication Z71.89
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert Z71.89 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About Z71.89Overview
What is the ICD-10 code for other specified counseling?
The ICD-10-CM code for other specified counseling is Z71.89 (sometimes written as Z7189). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is Z71.89 (Other specified counseling) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified counseling on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does Z71.89 group to?
On inpatient claims, other specified counseling maps to MS-DRG 951 (other Factors Influencing Health Status), which carries a relative weight of 0.5574. Higher weights mean higher Medicare reimbursement.
Can Z71.89 be a principal diagnosis?
No. The Medicare Code Editor rejects this code as a principal diagnosis because other specified counseling describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.
Is Z71.89 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 other specified counseling on inpatient claims. The code appears in the Persons encountering health services in other circumstances (Z69-Z76) range of the CMS exempt list.
