ICD-10 Z69
Non-Billable HeaderEncounter for mental health services for victim and perpetrator of abuse
About ICD-10-CM Z69
ICD-10-CM code Z69 represents Encounter for mental health services for victim and perpetrator of abuse. This is a non-billable header code in the Factors Influencing Health Status chapter (block Z69). The 2026 edition of ICD-10-CM Z69 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Includes
- counseling for victims and perpetrators of abuse
Medicare LCD Coverage for Z69
Local Coverage Determinations (LCDs) from CMS MACs that list Z69 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z69.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but Z69 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with Z69
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To Z69
Other codes in section Z69-Z76 (Persons encountering health services in other circumstances).
ICD-10 Z69, Billing FAQ
Is ICD-10 code Z69 billable? +
No, Z69 is a non-billable header code. Use a more specific child code from block Z69 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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