Counseling related to sexual attitude, behavior and orientation (Z70) ICD-10-CM
The Z70 code range covers counseling related to sexual attitude, behavior and orientation with 7 ICD-10-CM diagnosis codes. 6 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- encounter for mental health services for sexual attitude, behavior and orientation
Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Codes in the Z70 Range 7 codes · 6 billable
- Z70 Counseling related to sexual attitude, behavior and orientationNon-billable
- Z70.0 Counseling related to sexual attitude
- Z70.1 Counseling related to patient's sexual behavior and orientation
- Z70.2 Counseling related to sexual behavior and orientation of third party
- Z70.3 Counseling related to combined concerns regarding sexual attitude, behavior and orientation
- Z70.8 Other sex counseling
- Z70.9 Sex counseling, unspecified
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the Z70 range.
Sex Counseling
Advice and support given to individuals to help them understand and resolve their sexual adjustment problems. It excludes treatment for PSYCHOSEXUAL DISORDERS or PSYCHOSEXUAL DYSFUNCTION.
About the Z70 Code Range
Z70 codes are used for documenting counseling related to sexual attitudes, behaviors, and orientations. These codes help specify the type of counseling provided, whether focused on the patient’s own sexual concerns or those of a third party.
The ICD-10 code for sexual attitude counseling, Z70.0, is applied when discussions specifically address personal sexual attitudes. For patients experiencing challenges such as sexual orientation confusion, Z70.1 is the correct code, helping clarify counseling related to the patient’s sexual behavior and orientation. If counseling involves concerns about another individual’s sexual behavior or orientation, Z70.2 is used. When multiple aspects—attitude, behavior, and orientation—are addressed together, Z70.3 appropriately covers these combined concerns. Additional codes like Z70.8 include other types of sex counseling, for example, education about the risks of unprotected sexual intercourse. For cases where the counseling details are not specified, Z70.9 is the general code. These distinctions assist medical coders and providers in accurately representing and tracking sexual health counseling services in patient records.
Questions About This Page
How many billable codes are in the Z70 range?
Of the 7 codes in this range, 6 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the Z70 range classify?
The range classifies counseling related to sexual attitude, behavior and orientation. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
