Z28.1

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

FY2027Chapter 21: Factors influencing health status and contact with health services/Z20–Z29 Persons with potential health hazards related to communicable diseases

BillableComplete code, valid to report

Z28.1 (also written Z281) is a billable ICD-10-CM diagnosis code for immunization not carried out because of patient decision for reasons of belief or group pressure. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 17 codes in category Z28 (Immunization not carried out and underimmunization status). The Alphabetic Index lists it under 3 entries. 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.

Inherited from Z28 Immunization not carried out and underimmunization status
  • , if applicable, encounter for immunization safety counseling (Z71.85)

Includes

Further defines or gives examples of the content of the category.

Inherited from Z28 Immunization not carried out and underimmunization status
  • vaccination not carried out

Inclusion terms

Conditions classified to this code.

This code
  • Immunization not carried out because of religious belief

Notes

Also from chapter/block level (3 notes)
Inherited from Chapter 21 Factors influencing health status and contact with health services
  • 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.

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 3 entries