1. ICD-10-CM Codes
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2. Z00-Z99 Factors influencing health status and contact with health services
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3. Z40-Z53 Encounters for other specific health care
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4. Z53- Persons encountering health services for specific procedures and treatment, not carried out
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2018/2019 ICD-10-CM Diagnosis Code Z53.20

Procedure and treatment not carried out because of patient's decision for unspecified reasons

2016 2017 2018 2019 Billable/Specific Code

• Z53.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• Short description: Proc/trtmt not crd out bec pt decision for unsp reasons
• The 2018/2019 edition of ICD-10-CM Z53.20 became effective on October 1, 2018.
• This is the American ICD-10-CM version of Z53.20 - other international versions of ICD-10 Z53.20 may differ.

• Anal exam declined
• Anal papanicolaou smear declined
• Anticoagulation declined
• Breast screening declined
• Cervical cancer pap smear screening declined
• Colon cancer screening declined
• Declines anal cancer screening (pap smear)
• Declines anticoagulation therapy
• Declines lung cancer screening
• Declines statins
• Glaucoma screening declined
• Hiv screening declined
• Lab draws declined
• Lipid screening declined
• Lung cancer screening declined
• Osteoporosis treatment declined
• Patient declines anal exam
• Patient declines cervical cancer screening (pap smear)
• Patient declines colon cancer screening
• Patient declines glaucoma screening
• Patient declines hiv screening
• Patient declines lab tests
• Patient declines lipid screening
• Patient declines mammogram screening
• Patient declines osteoporosis treatment
• Patient declines procedure
• Patient declines prostate cancer screening
• Patient declines screening
• Patient declines treatment
• Procedure refused
• Prostate cancer screening declined
• Refusal of treatment by patient
• Screening declined
• Statin declined

• 795 Normal newborn
• 951 Other factors influencing health status

Convert Z53.20 to ICD-9-CM

• 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

• Canceled procedure (surgical) Z53.9
  ICD-10-CM Diagnosis Code Z53.9

  Procedure and treatment not carried out, unspecified reason

  2016 2017 2018 2019 Billable/Specific Code
  • because of
    • patient's decision Z53.20
• Procedure (surgical)
  • not done Z53.9
    ICD-10-CM Diagnosis Code Z53.9

    Procedure and treatment not carried out, unspecified reason

    2016 2017 2018 2019 Billable/Specific Code
    • because of
      • patient's decision Z53.20
• Refusal of
  • treatment (because of) Z53.20

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