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ICD-10-CM Code Z72.6
Gambling and betting

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
POA Exempt
POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.
Mental Health
Mental Health Code
Indicates that the ICD code is referenced in DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Version 5)
| ICD-10 from 2011 - 2016

Z72.6 is a billable ICD code used to specify a diagnosis of gambling and betting. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

IndicatorMeaningCMS Will Pay CC/MCC DRG Costs
YDiagnosis was present at time of inpatient admissionYes
NDiagnosis was not present at time of inpatient admissionNo
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.No
WClinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.Yes
1Exempt from POA reportingNo


Coding Notes for Z72.6 Info for medical coders on how to properly use this ICD-10 code

Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Compulsive or pathological gambling - instead, use code F63.0

MS-DRG Mapping

  • DRG Group #951 - Other factors influencing health status.

ICD-10-CM Alphabetical Index References for 'Z72.6 - Gambling and betting'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z72.6. Click on any term below to browse the alphabetical index.

Gambling (Z72.6)
Betting and gambling (Z72.6)

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Gambling and betting (exact match)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code V69.3 was previously used, Z72.6 is the appropriate modern ICD10 code.


Parent Code: Z72 - Problems related to lifestyle

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Z726