Z53

Persons encountering health services for specific procedures and treatment, not carried out

FY2027Chapter 21: Factors influencing health status and contact with health services/Z40–Z53 Encounters for other specific health care

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

Z53 is a non-billable ICD-10-CM code category for persons encountering health services for specific procedures and treatment, not carried out. 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 Z53.0 Procedure and treatment not carried out because of contraindication, Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure, Z53.2 Procedure and treatment not carried out because of patient's decision for other and unspecified reasons, Z53.3 Procedure converted to open procedure and 2 more. Its coding notes include 1 Excludes2 entry.

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (1 note)
Inherited from Z40–Z53 Encounters for other specific health care
  • follow-up examination for medical surveillance after treatment (Z08-Z09)

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.

More specific codes under Z53 6