October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classified

All 19 codes in the Z71 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

19

Can lead a claim

0

Cannot lead a claim

19

What CMS assigns to Z71

None of the 19 codes is assigned a clinical group. None of the 19 is assigned a comorbidity subgroup. None can lead a claim.

Every code in Z71

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Z71.0Person encountering health services to consult on behalf of another personCMS: Prsn encntr hlth serv to consult on behalf of another personCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.1Person with feared health complaint in whom no diagnosis is madeCMS: Person w feared hlth complaint in whom no diagnosis is madeCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.2Person consulting for explanation of examination or test findingsCMS: Person consulting for explanation of exam or test findingsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.3Dietary counseling and surveillanceCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.4 Alcohol abuse counseling and surveillance
Z71.41Alcohol abuse counseling and surveillance of alcoholicCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.42Counseling for family member of alcoholicCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.5 Drug abuse counseling and surveillance
Z71.51Drug abuse counseling and surveillance of drug abuserCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.52Counseling for family member of drug abuserCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.6Tobacco abuse counselingCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.7Human immunodeficiency virus [HIV] counselingCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.8 Other specified counseling
Z71.81Spiritual or religious counselingCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.82Exercise counselingCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.83Encounter for nonprocreative genetic counselingCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.84Encounter for health counseling related to travelCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.85Encounter for immunization safety counselingCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.87Encounter for pediatric-to-adult transition counselingCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.88Encounter for counseling for socioeconomic factorsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.89Other specified counselingCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
Z71.9Counseling, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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