ICD-10 Code
International Classification of Diseases, 10th Revision
Feb 25, 2017

Procedure Terms used in “Substance Abuse Treatment”

Substance abuse treatment codes have a first character value of “H”. The second character is used to identify the body system elsewhere in ICD-10-PCS. Because body system does not apply in this section, the second character always has the value None. The third character specifies the root type. Examples include detoxification services and individual counseling. The fourth character is a type qualifier that further specifies the procedure type. The individual counseling procedure further specified in the fourth character includes the values Cognitive Behavioral, 12-step, and Interpersonal. The fifth, sixth and seventh characters are not specified and always have the value None.


Terms for Substance Abuse Treatment

Detoxification Services
Detoxification from alcohol and/or drugs

Not a treatment modality, but helps the patient stabilize physically and psychologically until the body becomes free of drugs and the effects of alcohol

Family Counseling
The application of psychological methods that includes one or more family members to treat an individual with addictive behavior

Provides support and education for family members of addicted individuals. Family member participation is seen as a critical area of substance abuse treatment

Group Counseling
The application of psychological methods to treat two or more individuals with addictive behavior

Provides structured group counseling sessions and healing power through the connection with others

Individual Counseling
The application of psychological methods to treat an individual with addictive behavior

Comprised of several different techniques, which apply various strategies to address drug addiction

Individual Psychotherapy
Treatment of an individual with addictive behavior by behavioral, cognitive, psychoanalytic, psychodynamic or psychophysiological means
Medication Management
Monitoring and adjusting the use of replacement medications for the treatment of addiction
Pharmacotherapy
The use of replacement medications for the treatment of addiction

When ICD 10 was implemented on October 1, 2015, it did not affect physicians', outpatient facilities', and hospital outpatient departments' use of CPT codes on Medicare Fee-For-Service claims. Providers should continue to use CPT codes to report these services.