2020 ICD-10-CM Diagnosis Code Z71.3

Dietary counseling and surveillance

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Z71.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Z71.3 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Z71.3 - other international versions of ICD-10 Z71.3 may differ.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for any associated underlying medical condition
The following code(s) above Z71.3 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z71.3:
  • Z00-Z99
    2020 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • 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.
    Factors influencing health status and contact with health services
  • Z71
    ICD-10-CM Diagnosis Code Z71

    Persons encountering health services for other counseling and medical advice, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • contraceptive or procreation counseling (Z30-Z31)
    • sex counseling (Z70.-)
    Persons encountering health services for other counseling and medical advice, not elsewhere classified
Approximate Synonyms
  • Diabetes mellitus diet education done
  • Dietary diabetic patient education
  • Dietary surveillance and counseling
  • Dietary surveillance and counseling done
  • Individual or group weight management education and counseling done
  • Nutrition and exercise counseling
  • Nutrition and exercise counseling done
  • Nutrition therapy for anorexia nervosa done
  • Nutrition therapy for bulimia done
  • Nutrition therapy for congestive heart failure
  • Nutrition therapy for constipation done
  • Nutrition therapy for diabetes type 1 done
  • Nutrition therapy for diabetes type 2 done
  • Nutrition therapy for enteral nutrition done
  • Nutrition therapy for failure to thrive done
  • Nutrition therapy for hyperlipidemia done
  • Nutrition therapy for hypertension
  • Nutrition therapy for pre-diabetes done
  • Nutrition therapy for vegetarianism done
  • Nutrition therapy for vitamin and mineral supplements done
  • Nutritional evaluation
  • Nutritional evaluation done
  • Nutritional therapy for anorexia nervosa
  • Nutritional therapy for bulimia (binge purge eating)
  • Nutritional therapy for congestive heart failure
  • Nutritional therapy for congestive heart failure done
  • Nutritional therapy for constipation
  • Nutritional therapy for diabetes mellitus type 1
  • Nutritional therapy for diabetes mellitus type 2
  • Nutritional therapy for enteral nutrition (tube feeding)
  • Nutritional therapy for failure to thrive
  • Nutritional therapy for hyperlipidemia (cholesterol problem)
  • Nutritional therapy for hypertension
  • Nutritional therapy for hypertension done
  • Nutritional therapy for overweight
  • Nutritional therapy for pre-diabetes
  • Nutritional therapy for vegetarianism
  • Nutritional therapy for vitamin and mineral supplements
  • Nutritional treatment for obesity or overweight done
  • Obesity counseling
  • Obesity counseling done
  • Weight management counseling
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z71.3 is considered exempt from POA reporting.
ICD-10-CM Z71.3 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 951 Other factors influencing health status

Convert Z71.3 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to Z71.3:
  • Admission (for) - see also Encounter (for)
  • Allergy, allergic (reaction) (to) T78.40
    ICD-10-CM Diagnosis Code T78.40

    Allergy, unspecified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Allergic reaction NOS
    • Hypersensitivity NOS
    • food (any) (ingested) T78.1
      ICD-10-CM Diagnosis Code T78.1

      Other adverse food reactions, not elsewhere classified

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      Type 1 Excludes
      • anaphylactic reaction or shock due to adverse food reaction (T78.0-)
      • anaphylactic reaction due to food (T78.0-)
      • bacterial food borne intoxications (A05.-)
      Type 2 Excludes
      • allergic and dietetic gastroenteritis and colitis (K52.29)
      • allergic rhinitis due to food (J30.5)
      • dermatitis due to food in contact with skin (L23.6, L24.6, L25.4)
      • dermatitis due to ingested food (L27.2)
      • food protein-induced enterocolitis syndrome (K52.21)
      • food protein-induced enteropathy (K52.22)
      Use Additional
      • code to identify the type of reaction, if applicable
      • dietary counseling and surveillance Z71.3
  • Colitis (acute) (catarrhal) (chronic) (noninfective) (hemorrhagic) K52.9
    - see also Enteritis
    ICD-10-CM Diagnosis Code K52.9

    Noninfective gastroenteritis and colitis, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Colitis NOS
    • Enteritis NOS
    • Gastroenteritis NOS
    • Ileitis NOS
    • Jejunitis NOS
    • Sigmoiditis NOS
    Type 1 Excludes
    • diarrhea NOS (R19.7)
    • functional diarrhea (K59.1)
    • infectious gastroenteritis and colitis NOS (A09)
    • neonatal diarrhea (noninfective) (P78.3)
    • psychogenic diarrhea (F45.8)
    • dietary counseling and surveillance Z71.3 (for)
  • Counseling (for) Z71.9
    ICD-10-CM Diagnosis Code Z71.9

    Counseling, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Encounter for medical advice NOS
    • dietary Z71.3
  • Diabetes, diabetic (mellitus) (sugar) E11.9
    ICD-10-CM Diagnosis Code E11.9

    Type 2 diabetes mellitus without complications

      2016 2017 2018 2019 2020 Billable/Specific Code Questionable As Admission Dx
    • dietary counseling and surveillance Z71.3
  • Dietary
    • surveillance and counseling Z71.3
  • Gastritis (simple) K29.70
    ICD-10-CM Diagnosis Code K29.70

    Gastritis, unspecified, without bleeding

      2016 2017 2018 2019 2020 Billable/Specific Code
    • dietary counseling and surveillance Z71.3
  • Hypercholesterolemia (essential) (primary) (pure) E78.00
    ICD-10-CM Diagnosis Code E78.00

    Pure hypercholesterolemia, unspecified

      2017 - New Code 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Fredrickson's hyperlipoproteinemia, type IIa
    • Hyperbetalipoproteinemia
    • Low-density-lipoprotein-type [LDL] hyperlipoproteinemia
    • (Pure) hypercholesterolemia NOS
    • dietary counseling and surveillance Z71.3
  • Hypoglycemia (spontaneous) E16.2
    ICD-10-CM Diagnosis Code E16.2

    Hypoglycemia, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • dietary counseling and surveillance Z71.3
  • Intolerance
    • food K90.49
      ICD-10-CM Diagnosis Code K90.49

      Malabsorption due to intolerance, not elsewhere classified

        2017 - New Code 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Malabsorption due to intolerance to carbohydrate
      • Malabsorption due to intolerance to fat
      • Malabsorption due to intolerance to protein
      • Malabsorption due to intolerance to starch
      • dietary counseling and surveillance Z71.3
  • Obesity E66.9
    ICD-10-CM Diagnosis Code E66.9

    Obesity, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code Questionable As Admission Dx
    Applicable To
    • Obesity NOS
    • dietary counseling and surveillance Z71.3
  • Supervision (of)
    • dietary (for) Z71.3
      • allergy Z71.3 (food)
      • colitis Z71.3
      • diabetes mellitus Z71.3
      • food allergy or intolerance Z71.3
      • gastritis Z71.3
      • hypercholesterolemia Z71.3
      • hypoglycemia Z71.3
      • intolerance Z71.3 (food)
      • obesity Z71.3
      • specified NEC Z71.3
  • Surveillance (of) (for) - see also Observation
    • dietary Z71.3

ICD-10-CM Codes Adjacent To Z71.3
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
Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classified
Z71.0 Person encountering health services to consult on behalf of another person
Z71.1 Person with feared health complaint in whom no diagnosis is made
Z71.2 Person consulting for explanation of examination or test findings
Z71.3 Dietary counseling and surveillance
Z71.4 Alcohol abuse counseling and surveillance
Z71.41 …… of alcoholic
Z71.42 Counseling for family member of alcoholic
Z71.5 Drug abuse counseling and surveillance
Z71.51 …… of drug abuser
Z71.52 Counseling for family member of drug abuser
Z71.6 Tobacco abuse counseling
Z71.7 Human immunodeficiency virus [HIV] counseling
Z71.8 Other specified counseling
Z71.81 Spiritual or religious counseling

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.