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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group HZ48 includes procedures performed to provide group counseling using confrontational techniques to individuals with addictive behavior. These ICD-10-PCS codes are used for inpatient documentation when confrontational group counseling is delivered as part of substance abuse treatment for two or more patients. Accurate coding within the ICD-10-PCS HZ48 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Confrontational Group Counseling Procedure Overview

Procedures in this group involve the application of confrontational counseling techniques delivered to two or more individuals with addictive behavior. These interventions focus on modifying behavior and facilitating treatment engagement rather than targeting an anatomical body system. Accurate coding ensures inpatient records reflect the type of psychosocial intervention provided and supports appropriate case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
H	Section	Substance Abuse Treatment
Z	Body System	None
4	Operation	Group Counseling
8	Body Part	Confrontational

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

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Confrontational Group Counseling Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
H	Section	Substance Abuse Treatment
Z	Body System	None
4	Operation	Group Counseling
8	Body Part	Confrontational

When to Use

Use a code from this group when confrontational group counseling is provided to multiple patients concurrently as part of an inpatient substance abuse treatment program. Do not use these codes for individual counseling or for group interventions that do not employ confrontational methods.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
HZ48ZZZ	Group Counseling for Substance Abuse Treatment, Confrontational

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 psychiatric unit following acute detoxification for severe alcohol use disorder who remains at high risk for relapse and is non-adherent to individual therapy; the treatment team schedules structured confrontational group sessions to challenge denial, increase insight, and promote engagement in ongoing recovery as part of the inpatient plan of care. Typical codes: HZ48ZZZ
An older patient hospitalized for complications of opioid use who is medically stabilized but demonstrates persistent minimization of substance-related harms and resistance to treatment; during the inpatient stay, clinicians use confrontational group counseling to address maladaptive beliefs, confront risky behaviors, and motivate acceptance of formal addiction treatment prior to discharge. Typical codes: HZ48ZZZ
A patient readmitted for recurrent substance-related incidents after prior inpatient treatment, now requiring intensified behavioral interventions due to repeated noncompliance and safety concerns; the care team implements confrontational group therapy sessions with multiple inpatients to directly address patterns of relapse and to reinforce consequences and accountability as part of a revised treatment plan. Typical codes: HZ48ZZZ

Related Codes

HZ40-COGNITIVE-GROUP-COUNSELING

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

HZ41-BEHAVIORAL-GROUP-COUNSELING

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

HZ42-COGNITIVE-BEHAVIORAL-GROUP-COUNSELING

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

HZ43-12-STEP-GROUP-COUNSELING

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

HZ44-INTERPERSONAL-GROUP-COUNSELING

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

HZ45-VOCATIONAL-GROUP-COUNSELING

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

HZ46-PSYCHOEDUCATION-GROUP-COUNSELING

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

HZ47-MOTIVATIONAL-ENHANCEMENT-COUNSELING

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

HZ49-SUBSTANCE-ABUSE-CONTINUING-CARE-CONTINUING-CARE-GROUP-COUNSELING

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

HZ4B-SPIRITUAL-GROUP-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.

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When to Use

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
HZ48ZZZ	Group Counseling for Substance Abuse Treatment, Confrontational

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 psychiatric unit following acute detoxification for severe alcohol use disorder who remains at high risk for relapse and is non-adherent to individual therapy; the treatment team schedules structured confrontational group sessions to challenge denial, increase insight, and promote engagement in ongoing recovery as part of the inpatient plan of care. Typical codes: HZ48ZZZ
An older patient hospitalized for complications of opioid use who is medically stabilized but demonstrates persistent minimization of substance-related harms and resistance to treatment; during the inpatient stay, clinicians use confrontational group counseling to address maladaptive beliefs, confront risky behaviors, and motivate acceptance of formal addiction treatment prior to discharge. Typical codes: HZ48ZZZ
A patient readmitted for recurrent substance-related incidents after prior inpatient treatment, now requiring intensified behavioral interventions due to repeated noncompliance and safety concerns; the care team implements confrontational group therapy sessions with multiple inpatients to directly address patterns of relapse and to reinforce consequences and accountability as part of a revised treatment plan. Typical codes: HZ48ZZZ

Related Codes

HZ40-COGNITIVE-GROUP-COUNSELING

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

HZ41-BEHAVIORAL-GROUP-COUNSELING

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

HZ42-COGNITIVE-BEHAVIORAL-GROUP-COUNSELING

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

HZ43-12-STEP-GROUP-COUNSELING

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

HZ44-INTERPERSONAL-GROUP-COUNSELING

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

HZ45-VOCATIONAL-GROUP-COUNSELING

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

HZ46-PSYCHOEDUCATION-GROUP-COUNSELING

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

HZ47-MOTIVATIONAL-ENHANCEMENT-COUNSELING

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

HZ49-SUBSTANCE-ABUSE-CONTINUING-CARE-CONTINUING-CARE-GROUP-COUNSELING

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

HZ4B-SPIRITUAL-GROUP-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 Confrontational: Procedure Code Group Overview

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

Confrontational Group Counseling Procedure Overview

Code Attributes

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

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

Confrontational Group Counseling Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents confrontational group counseling for substance abuse?

What type of intervention does the HZ48 code group capture?

In what setting are the `HZ48ZZZ` codes used for documentation?

How does accurate coding of the HZ48 group affect reimbursement?

Which DRGs are related to the HZ48 procedure group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents confrontational group counseling for substance abuse?

What type of intervention does the HZ48 code group capture?

In what setting are the `HZ48ZZZ` codes used for documentation?

How does accurate coding of the HZ48 group affect reimbursement?

Which DRGs are related to the HZ48 procedure group?

References