ICD-10-PCS Code For Cognitive-Behavioral: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group HZ32 includes procedures performed to provide individual counseling using cognitive-behavioral techniques for substance abuse treatment. These ICD-10-PCS codes are used for inpatient documentation when individual psychotherapy with a cognitive-behavioral focus is delivered to treat addictive behaviors. Accurate coding within the ICD-10-PCS HZ32 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

Customize your policy alerts

Sign up for ICD-10-PCS Code For Cognitive-Behavioral: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Cognitive-Behavioral Individual Counseling Procedure Overview

Procedures in this group involve individual counseling using cognitive-behavioral techniques to treat patients with addictive behavior. These interventions focus on modifying thoughts and behaviors that contribute to substance use and are delivered by qualified behavioral health clinicians in an inpatient setting. Accurate coding captures the specific therapeutic approach provided and supports appropriate inpatient reimbursement and clinical documentation. Proper assignment ensures the inpatient record reflects the nature and intensity of the psychological treatment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
H	Section	Substance Abuse Treatment
Z	Body System	None
3	Operation	Individual Counseling
2	Body Part	Cognitive-Behavioral

Explore openpayer tools

View all tools

ICD-10-PCS Code For Cognitive-Behavioral: Procedure Code Group Overview

Customize your policy alerts

Sign up for ICD-10-PCS Code For Cognitive-Behavioral: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Cognitive-Behavioral Individual Counseling Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
H	Section	Substance Abuse Treatment
Z	Body System	None
3	Operation	Individual Counseling
2	Body Part	Cognitive-Behavioral

When to Use

Use a code from this group when an inpatient receives individual counseling that is explicitly cognitive-behavioral in approach as part of substance abuse treatment. Do not use these codes for group therapy, family counseling, or non-cognitive-behavioral individual psychotherapy.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
HZ32ZZZ	Individual Counseling for Substance Abuse Treatment, Cognitive-Behavioral

DRG Codes

3 rows

DRG Code	Description
895	Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
896	Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC
897	Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC

Typical Clinical Scenarios

A young adult admitted to an inpatient substance use stabilization unit after a methamphetamine overdose with unstable living conditions and recurrent relapses. The patient is medically stabilized but demonstrates persistent maladaptive thoughts and high-risk behaviors that precipitate continued use; cognitive restructuring and skills training are provided one-on-one to reduce cravings and develop coping strategies, so an individual cognitive-behavioral counseling session is documented during the admission. Typical codes: HZ32ZZZ
A middle-aged patient electively admitted for a planned detoxification and inpatient rehabilitation program for severe alcohol use disorder with coexisting depressive symptoms. During the scheduled inpatient stay, a behavioral health clinician delivers structured cognitive-behavioral individual counseling to target drinking-related cognitions and build relapse-prevention skills as part of the treatment plan. Typical codes: HZ32ZZZ
An older adult readmitted after discharge for recurrent opioid misuse and nonadherence to outpatient therapy, now requiring intensified inpatient behavioral treatment after outpatient attempts failed. The inpatient team provides focused one-on-one cognitive-behavioral counseling to address maladaptive beliefs and behaviors contributing to relapse and to revise coping plans before discharge. Typical codes: HZ32ZZZ

Related Codes

HZ30-COGNITIVE-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Cognitive: Procedure Code Group Overview

HZ31-BEHAVIORAL-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Behavioral: Procedure Code Group Overview

HZ33-12-STEP-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For 12-Step: Procedure Code Group Overview

HZ34-INTERPERSONAL-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Interpersonal: Procedure Code Group Overview

HZ35-VOCATIONAL-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Vocational: Procedure Code Group Overview

HZ36-PSYCHOEDUCATION-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Psychoeducation: Procedure Code Group Overview

HZ37-MOTIVATIONAL-ENHANCEMENT-COUNSELING

ICD-10-PCS Code For Motivational Enhancement: Procedure Code Group Overview

HZ38-CONFRONTATIONAL-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Confrontational: Procedure Code Group Overview

HZ39-CONTINUING-CARE-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Continuing Care: Procedure Code Group Overview

HZ3B-SPIRITUAL-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Spiritual: Procedure Code Group Overview

Showing 1–10 of 11

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
HZ32ZZZ	Individual Counseling for Substance Abuse Treatment, Cognitive-Behavioral

DRG Codes

3 rows

DRG Code	Description
895	Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
896	Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC
897	Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC

Typical Clinical Scenarios

A young adult admitted to an inpatient substance use stabilization unit after a methamphetamine overdose with unstable living conditions and recurrent relapses. The patient is medically stabilized but demonstrates persistent maladaptive thoughts and high-risk behaviors that precipitate continued use; cognitive restructuring and skills training are provided one-on-one to reduce cravings and develop coping strategies, so an individual cognitive-behavioral counseling session is documented during the admission. Typical codes: HZ32ZZZ
A middle-aged patient electively admitted for a planned detoxification and inpatient rehabilitation program for severe alcohol use disorder with coexisting depressive symptoms. During the scheduled inpatient stay, a behavioral health clinician delivers structured cognitive-behavioral individual counseling to target drinking-related cognitions and build relapse-prevention skills as part of the treatment plan. Typical codes: HZ32ZZZ
An older adult readmitted after discharge for recurrent opioid misuse and nonadherence to outpatient therapy, now requiring intensified inpatient behavioral treatment after outpatient attempts failed. The inpatient team provides focused one-on-one cognitive-behavioral counseling to address maladaptive beliefs and behaviors contributing to relapse and to revise coping plans before discharge. Typical codes: HZ32ZZZ

Related Codes

HZ30-COGNITIVE-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Cognitive: Procedure Code Group Overview

HZ31-BEHAVIORAL-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Behavioral: Procedure Code Group Overview

HZ33-12-STEP-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For 12-Step: Procedure Code Group Overview

HZ34-INTERPERSONAL-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Interpersonal: Procedure Code Group Overview

HZ35-VOCATIONAL-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Vocational: Procedure Code Group Overview

HZ36-PSYCHOEDUCATION-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Psychoeducation: Procedure Code Group Overview

HZ37-MOTIVATIONAL-ENHANCEMENT-COUNSELING

ICD-10-PCS Code For Motivational Enhancement: Procedure Code Group Overview

HZ38-CONFRONTATIONAL-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Confrontational: Procedure Code Group Overview

HZ39-CONTINUING-CARE-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Continuing Care: Procedure Code Group Overview

HZ3B-SPIRITUAL-INDIVIDUAL-COUNSELING

ICD-10-PCS Code For Spiritual: Procedure Code Group Overview

Showing 1–10 of 11

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Cognitive-Behavioral: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Cognitive-Behavioral: Procedure Code Group Overview policy alerts

Cognitive-Behavioral Individual Counseling Procedure Overview

Code Attributes

ICD-10-PCS Code For Cognitive-Behavioral: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Cognitive-Behavioral: Procedure Code Group Overview policy alerts

Cognitive-Behavioral Individual Counseling Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code belongs to the Cognitive-Behavioral individual counseling group for substance abuse treatment?

What clinical focus does the `HZ32ZZZ` procedure capture?

In which section and operation category is `HZ32ZZZ` classified?

How does accurate assignment of `HZ32ZZZ` affect inpatient documentation and reimbursement?

Which related DRGs may be associated with procedures coded to `HZ32ZZZ`?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code belongs to the Cognitive-Behavioral individual counseling group for substance abuse treatment?

What clinical focus does the `HZ32ZZZ` procedure capture?

In which section and operation category is `HZ32ZZZ` classified?

How does accurate assignment of `HZ32ZZZ` affect inpatient documentation and reimbursement?

Which related DRGs may be associated with procedures coded to `HZ32ZZZ`?

References