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BETA v.3.0

2025 ICD-10-CM code Z72.6

Gambling and betting. This code is used when a patient encounters health services due to issues related to gambling or betting, but does not have a current illness or injury.

A corresponding procedure code must accompany a Z code if a procedure is performed.Use this code only when gambling or betting is the primary reason for the encounter and no other diagnosis or problem classifiable to A00-Y89 is present.

Medical necessity is established when the gambling and betting behaviors are impacting the patient's health status or are the reason for the encounter with the healthcare system.The documentation should clearly demonstrate the need for intervention or counseling related to the patient's gambling or betting.

Clinicians may use this code to document reasons for encounters related to a patient's gambling and betting habits when such habits are influencing the patient's health status or are the reason for the encounter.

IMPORTANT:Excludes1: compulsive or pathological gambling (F63.0)Excludes2: problems related to life-management difficulty (Z73.-) problems related to socioeconomic and psychosocial circumstances (Z55-Z65)

In simple words: This code is used when someone visits a healthcare provider because of issues related to gambling or betting, but not for a specific illness or injury.

Gambling and betting.This ICD-10-CM code is used to document encounters with healthcare services related to a patient's gambling or betting habits.It is not intended for use when the patient exhibits compulsive or pathological gambling behavior, which is classified under F63.0.

Example 1: A patient presents to their primary care physician concerned about the financial strain their gambling habit is putting on their family. They are not exhibiting signs of pathological gambling but recognize the negative impact of their behavior., A patient is seen by a counselor to discuss their betting habits, which are causing significant stress and relationship problems. The patient is not addicted but seeks help managing their behavior., A patient is referred to a social worker for assistance with financial difficulties stemming from excessive gambling.The patient is not diagnosed with a gambling disorder but needs support in addressing the consequences of their gambling behavior.

Documentation should support the reason for the encounter and the impact of gambling or betting on the patient's health status.Details about the frequency, duration, and consequences of the gambling or betting behavior should be noted.

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