Z7189 - Other specialized counseling services not covered by more specific codes

International Classification of Diseases

Last updated: 10/3/2025

What is a ICD-10 Code?

ICD-10 (International Classification of Diseases, 10th Revision) codes are used to classify and code all diagnoses, symptoms, and procedures recorded in association with hospital care. These codes provide a standardized way to track health conditions and their treatment outcomes.

Detailed Description

This code is used when you receive professional counseling or therapeutic guidance that doesn't fit into other specific counseling categories. It covers various types of specialized counseling services such as grief counseling, stress management counseling, lifestyle counseling, or other therapeutic conversations with healthcare professionals. This is typically used for outpatient visits where the primary purpose is to receive counseling support for mental health, behavioral, or life adjustment issues that require professional guidance but don't fall under more specific diagnostic categories.

Additional Information

This is a broad category code used for various counseling services. The specific type of counseling and treatment approach will depend on your individual needs and the healthcare provider's assessment. Sessions are typically conducted in an outpatient setting and may be covered by insurance depending on your plan's mental health benefits.

Category

Mental Health/Counseling Services

Medical Specialty

Mental Health, Psychology, Social Work, or Primary Care

Expected Costs

We expect this to normally be in the range of:

$80 - $250

This is an estimate based on typical billing patterns. Your actual cost may vary depending on your insurance coverage, provider location, and specific circumstances.

What's Required Before This

  • Usually requires referral or self-referral
  • May need prior authorization depending on insurance

What to Expect After

  • Follow-up counseling sessions as recommended
  • Possible referral to specialized mental health services if needed
  • Regular assessment of progress and goals

Why Understanding This Code Matters

On Your Medical Bill

This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.

For Your Health

Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.

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