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ICD-10-CM 2027 diagnosis code

Z70.3Counseling related to combined concerns regarding sexual attitude, behavior and orientation

✓ Billable / specificPOA exemptNot a principal dx

Z70.3 is a valid, billable ICD-10-CM code for counseling related to combined concerns regarding sexual attitude, behavior and orientation. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Cnsl rel to comb concrn rgrd sex attitude, behav and orientn

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About Z70.3

Z70.3 is the ICD-10-CM diagnosis code for counseling related to combined concerns regarding sexual attitude, behavior and orientation. It belongs to category Z70 (counseling related to sexual attitude, behavior and orientation), block Z69-Z76 (persons encountering health services in other circumstances) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z70 (counseling related to sexual attitude, behavior and orientation), Z70.3 is specifically for counseling related to combined concerns regarding sexual attitude, behavior and orientation. Related codes cover counseling related to sexual attitude (Z70.0), counseling related to patient's sexual behavior and orientation (Z70.1), counseling related to sexual behavior and orientation of third party (Z70.2), other sex counseling (Z70.8) and sex counseling, unspecified (Z70.9).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V65.49 (other specified counseling).

Notes that apply from higher levels

Instructions written at a parent level also apply to Z70.3.

› From Z70 Counseling related to sexual attitude, behavior and orientation
Includes
  • encounter for mental health services for sexual attitude, behavior and orientation
Excludes2
  • contraceptive or procreative counseling (Z30-Z31)

Broader instructions also apply from Chapter 21: Factors influencing health status and contact with health services.

Alphabetic index entries

1 entries

Terms in the official ICD-10-CM index that lead to Z70.3.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →
  • V65.49Other specified counselingapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about Z70.3

Is Z70.3 billable?

Yes. Z70.3 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z70.3 be used as a principal diagnosis?

No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

Is Z70.3 a CC or MCC?

No. Z70.3 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z70.3 group to?

Z70.3 is used in the MS-DRG v44.0 logic for MS-DRG 951 (Other Factors Influencing Health Status). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for Z70.3?

The CMS General Equivalence Mappings map Z70.3 to ICD-9-CM V65.49.