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ICD-10-CM Codes
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Z00-Z99
Factors influencing health status and contact with health services
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Z20-Z29
Persons with potential health hazards related to communicable diseases
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Z28-
Immunization not carried out and underimmunization status
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2020 ICD-10-CM Diagnosis Code Z28.82
Immunization not carried out because of caregiver refusal
2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
- Z28.82 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2020 edition of ICD-10-CM Z28.82 became effective on October 1, 2019.
- This is the American ICD-10-CM version of Z28.82 - other international versions of ICD-10 Z28.82 may differ.
Applicable To- Immunization not carried out because of guardian refusal
- Immunization not carried out because of parent refusal
Type 1 ExcludesType 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z28.82. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
The following code(s) above
Z28.82 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
Z28.82:
- Human papillomavirus vaccination declined by parent or caregiver
- Influenza vaccination declined by caregiver
- Patient declines human papilloma virus (hpv) vaccination by parent or caregiver
- Patient declines influenza vaccination by caregiver
- Patient declines strep pneumonia vaccination by caregiver
- Patient declines vaccination by caregiver
- Patient declines vaccination by parent
- Streptococcus pneumonia vaccination declined by caregiver
- Vaccination declined by caregiver
- Vaccine refused by parent
Present On AdmissionPOA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
- Z28.82 is considered exempt from POA reporting.
ICD-10-CM Z28.82 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
- 795 Normal newborn
- 951 Other factors influencing health status
Convert Z28.82 to ICD-9-CM
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
- Immunization - see also Vaccination
- not done (not carried out) Z28.9
ICD-10-CM Diagnosis Code Z28.9
Immunization not carried out for unspecified reason
2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
- because (of)
- caregiver refusal Z28.82
- guardian refusal Z28.82
- parent refusal Z28.82
ICD-10-CM Codes Adjacent To Z28.82
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
Z28.29 Immunization not carried out because of patient decision for other reason
Z28.3 Underimmunization status
Z28.8 Immunization not carried out for other reason
Z28.81 Immunization not carried out due to patient having had the disease
Z28.82
Immunization not carried out because of caregiver refusal
Z28.83 Immunization not carried out due to unavailability of vaccine
Z28.89 Immunization not carried out for other reason
Z28.9 Immunization not carried out for unspecified reason
Z29 Encounter for other prophylactic measures
Z29.1 Encounter for prophylactic immunotherapy
Z29.11 …… for respiratory syncytial virus (RSV)
Z29.12 Encounter for prophylactic antivenin
Z29.13 Encounter for prophylactic Rho(D) immune globulin
Z29.14 Encounter for prophylactic rabies immune globin
Z29.3 Encounter for prophylactic fluoride administration
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
