ICD-10-CM Codes
Z00-Z99 Factors influencing health status and contact with health services
Z20-Z29 Persons with potential health hazards related to communicable diseases
Z28- Immunization not carried out and underimmunization status
2020 ICD-10-CM Diagnosis Code Z28.82

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 Excludes

Type 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.

immunization not carried out because of caregiver refusal because of religious belief (
ICD-10-CM Diagnosis Code Z28.1
Immunization not carried out because of patient decision for reasons of belief or group pressure
Applicable To
- Immunization not carried out because of religious belief
Z28.1
)

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:

Z00-Z99
2020 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
Z28
ICD-10-CM Diagnosis Code Z28
Immunization not carried out and underimmunization status
Includes
- vaccination not carried out
Immunization not carried out and underimmunization status

Approximate Synonyms

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 Admission

POA 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

Diagnosis Index entries containing back-references to Z28.82:

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.

2020 ICD-10-CM Diagnosis Code Z28.82

Immunization not carried out because of caregiver refusal

Immunization not carried out because of patient decision for reasons of belief or group pressure

Factors influencing health status and contact with health services

Immunization not carried out and underimmunization status

Immunization not carried out for unspecified reason