2025 ICD-10-CM code Z70.3
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Counseling related to sexual attitude, behavior and orientation XXI - Factors influencing health status and contact with health services Feed
This ICD-10-CM code signifies counseling addressing combined concerns regarding sexual attitude, behavior, and orientation.
Modifiers are not applicable to ICD-10 codes.
Medical necessity for counseling related to sexual attitude, behavior, and orientation is established when the patient is experiencing clinically significant distress or impairment in social, occupational, or other important areas of functioning as a result of their sexual concerns. This can manifest as anxiety, depression, relationship difficulties, or other mental health concerns directly linked to sexual issues.
The clinical responsibility for this code falls upon healthcare professionals providing counseling services, such as psychologists, psychiatrists, social workers, or other licensed therapists. The specific responsibilities include conducting a thorough assessment of the patient's sexual history, attitudes, and behaviors, developing a treatment plan addressing the patient's concerns, providing appropriate counseling interventions, and monitoring the patient's progress. Documentation is crucial, and proper record-keeping is essential for compliance and accurate billing.
- XXI - Factors influencing health status and contact with health services
- Z00-Z99 > Z69-Z76 > Z70-Z70.9
In simple words: This code is used when someone goes to a doctor or therapist for counseling about their feelings, actions, or identity related to sex.It covers situations where there are concerns about more than one of these aspects of sexuality.
ICD-10-CM code Z70.3, "Counseling related to combined concerns regarding sexual attitude, behavior and orientation," is used to classify encounters for counseling that addresses multiple aspects of an individual's sexuality.This includes concerns related to sexual attitudes, behaviors, and sexual orientation.The code is applied when counseling is the primary reason for the encounter.It is important to note that this code should be used in conjunction with a procedural code if any procedures are performed during the encounter.This code excludes counseling solely focused on contraception or procreation (Z30-Z31).
Example 1: A 25-year-old patient presents for counseling due to anxiety and confusion surrounding their sexual orientation. They are grappling with internalized homophobia and exploring their identity., A 40-year-old couple seeks therapy to address communication difficulties and dissatisfaction within their sexual relationship. They are struggling with intimacy issues and decreased sexual frequency., A 17-year-old patient seeks counseling after experiencing a traumatic sexual encounter. They are experiencing significant emotional distress, including anxiety, depression, and feelings of guilt or shame.
Detailed documentation should include the patient's presenting concerns, relevant history (including sexual history), mental health assessment,treatment plan, progress notes detailing interventions, and the patient's response to treatment. Documentation should clearly support the medical necessity for the counseling services rendered.
** Accurate coding requires a thorough understanding of the patient's presentation and the reason for the encounter.Always ensure the code reflects the primary reason for the visit, and if procedures are performed during the counseling session, ensure a relevant procedural code is included.
- Revenue Code: Revenue codes will vary depending on the payer and the specific services provided. Consult your payer's guidelines for appropriate revenue codes.
- RVU: RVUs are not applicable to ICD-10 codes. RVUs are associated with procedural codes (CPT, HCPCS).
- Global Days: Not applicable to ICD-10 codes. Global periods are associated with surgical procedures coded with CPT codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules pertain to procedural codes.
- Specialties:Psychiatry, Psychology, Social Work, Marriage and Family Therapy
- Place of Service:Office, Outpatient Hospital, Mental Health Clinic, Inpatient Hospital (if inpatient counseling is provided)