2019 ICD-10-CM Diagnosis Code Z71.4

Alcohol abuse counseling and surveillance

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • Z71.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM Z71.4 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of Z71.4 - other international versions of ICD-10 Z71.4 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 alcohol abuse or dependence (
    ICD-10-CM Diagnosis Code F10
    • F10 Alcohol related disorders
      • F10.1 Alcohol abuse
        • F10.10 …… uncomplicated
        • F10.11 …… in remission
        • F10.12 Alcohol abuse with intoxication
          • F10.120 Alcohol abuse with intoxication, uncomplicate...
          • F10.121 …… delirium
          • F10.129 …… unspecified
        • F10.14 Alcohol abuse with alcohol-induced mood disor...
        • F10.15 Alcohol abuse with alcohol-induced psychotic ...
          • F10.150 Alcohol abuse with alcohol-induced psychotic ...
          • F10.151 Alcohol abuse with alcohol-induced psychotic ...
          • F10.159 Alcohol abuse with alcohol-induced psychotic ...
        • F10.18 Alcohol abuse with other alcohol-induced diso...
          • F10.180 Alcohol abuse with alcohol-induced anxiety di...
          • F10.181 Alcohol abuse with alcohol-induced sexual dys...
          • F10.182 Alcohol abuse with alcohol-induced sleep diso...
          • F10.188 Alcohol abuse with other alcohol-induced diso...
        • F10.19 Alcohol abuse with unspecified alcohol-induce...
      • F10.2 Alcohol dependence
        • F10.20 …… uncomplicated
        • F10.21 …… in remission
        • F10.22 Alcohol dependence with intoxication
          • F10.220 Alcohol dependence with intoxication, uncompl...
          • F10.221 Alcohol dependence with intoxication delirium...
          • F10.229 Alcohol dependence with intoxication, unspeci...
        • F10.23 Alcohol dependence with withdrawal
          • F10.230 Alcohol dependence with withdrawal, uncomplic...
          • F10.231 …… delirium
          • F10.232 Alcohol dependence with withdrawal with perce...
          • F10.239 Alcohol dependence with withdrawal, unspecifi...
        • F10.24 Alcohol dependence with alcohol-induced mood ...
        • F10.25 Alcohol dependence with alcohol-induced psych...
          • F10.250 Alcohol dependence with alcohol-induced psych...
          • F10.251 Alcohol dependence with alcohol-induced psych...
          • F10.259 Alcohol dependence with alcohol-induced psych...
        • F10.26 Alcohol dependence with alcohol-induced persi...
        • F10.27 Alcohol dependence with alcohol-induced persi...
        • F10.28 Alcohol dependence with other alcohol-induced...
          • F10.280 Alcohol dependence with alcohol-induced anxie...
          • F10.281 Alcohol dependence with alcohol-induced sexua...
          • F10.282 Alcohol dependence with alcohol-induced sleep...
          • F10.288 Alcohol dependence with other alcohol-induced...
        • F10.29 Alcohol dependence with unspecified alcohol-i...
      • F10.9 Alcohol use, unspecified
        • F10.92 Alcohol use, unspecified with intoxication
          • F10.920 Alcohol use, unspecified with intoxication, u...
          • F10.921 Alcohol use, unspecified with intoxication de...
          • F10.929 Alcohol use, unspecified with intoxication, u...
        • F10.94 Alcohol use, unspecified with alcohol-induced...
        • F10.95 Alcohol use, unspecified with alcohol-induced...
          • F10.950 Alcohol use, unspecified with alcohol-induced...
          • F10.951 Alcohol use, unspecified with alcohol-induced...
          • F10.959 Alcohol use, unspecified with alcohol-induced...
        • F10.96 Alcohol use, unspecified with alcohol-induced...
        • F10.97 Alcohol use, unspecified with alcohol-induced...
        • F10.98 Alcohol use, unspecified with other alcohol-i...
          • F10.980 Alcohol use, unspecified with alcohol-induced...
          • F10.981 Alcohol use, unspecified with alcohol-induced...
          • F10.982 Alcohol use, unspecified with alcohol-induced...
          • F10.988 Alcohol use, unspecified with other alcohol-i...
        • F10.99 Alcohol use, unspecified with unspecified alc...
    F10.-
    )
The following code(s) above Z71.4 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 Z71.4:
  • Z00-Z99
    2019 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 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
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
ICD-10-CM Codes Adjacent To Z71.4
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
Z71.82 Exercise counseling

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