ICD-10-CM 2027
ICD-10 code for Counselor problem
From the official ICD-10-CM alphabetic index entry “Problem (with) (related to) › counselor”. Page updated September 29, 2026.
About coding Counselor problem
The ICD-10-CM code for Counselor problem is Z64.4 (Discord with counselors).
Within Z64 (problems related to certain psychosocial circumstances), Z64.4 is specifically for discord with counselors. Related codes cover problems related to unwanted pregnancy (Z64.0) and problems related to multiparity (Z64.1).
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.
Common questions about Counselor problem ICD-10 codes
What is the ICD-10 code for Counselor problem?
- Z64.4 — Discord with counselors.
Is Z64.4 billable?
- Yes. Z64.4 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can Z64.4 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 Z64.4 a CC or MCC?
- No. Z64.4 is neither a CC nor an MCC under MS-DRG v44.0.