Z71.42 — Counseling for family member of alcoholic
Is Z71.42 billable?
Yes — Z71.42 is billable for FY2027. Z71.42 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z71.42 may be submitted for encounters from October 1, 2026 through September 30, 2027.
Z71.42 at a glance
| Code | Z71.42 |
|---|---|
| Description | Counseling for family member of alcoholic |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to Z71.42?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name Z71.42 directly.
CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.
Which MS-DRGs does Z71.42 group to?
Z71.42 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 951Other Factors Influencing Health Statusmedical
How is Z71.42 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Z71.42. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Alcohol, alcoholic, alcohol-induced › counseling and surveillance › family member
- Counseling › alcohol abuser › family (for)
Inclusion terms
Alternative wording in documentation that is classified to Z71.42.
- Counseling for significant other, partner, or friend of alcoholic
Use additional code — inherited from Z71.4
Report an additional code alongside Z71.42 to fully describe the condition. Z71.42 is sequenced first.
- code for alcohol abuse or dependence (F10.-)
Excludes2 — not included here — inherited from Z71
The conditions below are not part of Z71.42, but a patient may have both at the same time. When documentation supports it, Z71.42 and the excluded code may both be reported.
How long has Z71.42 existed?
Z71.42 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.