2023 ICD-10-CM Diagnosis Code Z28

Immunization not carried out and underimmunization status

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • Z28 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM Z28 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z28 - other international versions of ICD-10 Z28 may differ.
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • , if applicable, encounter for immunization safety counseling (
    ICD-10-CM Diagnosis Code Z71.85

    Encounter for immunization safety counseling

      2022 - New Code 2023 Billable/Specific Code POA Exempt
    Applicable To
    • Encounter for vaccine product safety counseling
    Code Also
    • , if applicable, encounter for immunization (Z23)
    Type 1 Excludes
    • encounter for health counseling related to travel (Z71.84)
    Z71.85
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • vaccination not carried out
The following code(s) above Z28 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z28:
  • Z00-Z99
    2023 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
ICD-10-CM Codes Adjacent To Z28
Z22.33 Carrier of bacterial disease due to streptococci
Z22.330 Carrier of Group B streptococcus
Z22.338 Carrier of other streptococcus
Z22.39 Carrier of other specified bacterial diseases
Z22.4 Carrier of infections with a predominantly sexual mode of transmission
Z22.6 Carrier of human T-lymphotropic virus type-1 [HTLV-1] infection
Z22.7 Latent tuberculosis
Z22.8 Carrier of other infectious diseases
Z22.9 Carrier of infectious disease, unspecified
Z23 Encounter for immunization
Z28 Immunization not carried out and underimmunization status
Z28.0 Immunization not carried out because of contraindication
Z28.01 Immunization not carried out because of acute illness of patient
Z28.02 Immunization not carried out because of chronic illness or condition of patient
Z28.03 Immunization not carried out because of immune compromised state of patient
Z28.04 Immunization not carried out because of patient allergy to vaccine or component
Z28.09 Immunization not carried out because of other contraindication
Z28.1 Immunization not carried out because of patient decision for reasons of belief or group pressure
Z28.2 Immunization not carried out because of patient decision for other and unspecified reason
Z28.20 Immunization not carried out because of patient decision for unspecified reason
Z28.21 Immunization not carried out because of patient refusal

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.