Z72.6

Z72.6: Gambling and betting

Billable / specific codeICD-10-CMPOA exempt

Z72.6 is a billable, specific ICD-10-CM code for gambling and betting. It is valid for submission on a claim.

Check Z72.6 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

compulsive or pathological gambling (F63.0)

Excludes2 inherited from the categories above Z72.6

Not part of this code, but both may be coded when both are present.

Written on Z72: Problems related to lifestyle

problems related to life-management difficulty (Z73.-)
problems related to socioeconomic and psychosocial circumstances (Z55-Z65)

Other codes that can never be billed with Z72.6

Their own Excludes1 notes name this code, so the conflict is not listed above.

F63.0Pathological gambling

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Betting and gambling
Gambling
Problem›life-style›gambling

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z72