Z28
Immunization not carried out and underimmunization status
Z28 is a non-billable ICD-10-CM code category for immunization not carried out and underimmunization status. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are Z28.0 Immunization not carried out because of 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, Z28.3 Underimmunization status and 2 more. Its coding notes include a Code also instruction.
Code also
Two codes may be needed to describe the condition. This note gives no sequencing order.
- , if applicable, encounter for immunization safety counseling (Z71.85)
Includes
Further defines or gives examples of the content of the category.
- vaccination not carried out
Notes
Also from chapter/block level (3 notes)
- 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.
More specific codes under Z28 6
- Z28.0Immunization not carried out because of contraindicationHeader
- Z28.1Immunization not carried out because of patient decision for reasons of belief or group pressureBillable
- Z28.2Immunization not carried out because of patient decision for other and unspecified reasonHeader
- Z28.3Underimmunization statusHeader
- Z28.8Immunization not carried out for other reasonHeader
- Z28.9Immunization not carried out for unspecified reasonBillable