2025 ICD-10-CM code Z70.9
Encounter for sex counseling, unspecified.
Medical necessity must be established by demonstrating that the counseling provided is necessary for the patient's overall well-being.This can involve documenting the impact of the patient's sexual concerns on their mental or emotional health, relationships, or quality of life. The documentation should support the need for professional intervention and justify the use of healthcare resources for addressing the issue.
The responsibility for using this code typically falls on the healthcare provider offering the counseling, such as a physician, counselor, or therapist. They are responsible for accurately documenting the reason for the encounter and ensuring it is not related to contraceptive or procreative management.
In simple words: This code is used when someone visits a healthcare professional for general sex counseling or advice related to their sexual attitude, behavior or orientation, but not for issues related to contraception or having children.
This code represents an encounter for sex counseling for reasons other than contraceptive or procreative management.It includes counseling related to sexual attitude, behavior, and orientation when no other specific code applies.
Example 1: A patient seeks guidance on managing their sexual anxieties not related to performance or specific dysfunctions., An individual seeks counseling regarding concerns about their sexual identity or orientation., A patient consults with a therapist about navigating ethical or emotional aspects of their sex life that do not involve family planning or reproductive health.
Documentation should clearly state the nature of the counseling provided, specifying the topics discussed, the patient's concerns, and the goals of the intervention. It should also explicitly state that the counseling was not related to contraception or procreative management to justify the use of Z70.9 over codes like Z30 or Z31.