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  6. 2024 ICD-10-CM Code Z53.2

2024 ICD-10-CM Diagnosis Code Z53.2

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

ICD-10-CM Code:
Z53.2
ICD-10 Code for:
Proc/trtmt not crd out bec pt decision for oth/unsp reason
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Factors influencing health status and contact with health services
    (Z00–Z99)
    • Encounters for other specific health care
      (Z40-Z53)
      • Persons encountering health services for specific procedures and treatment, not carried out
        (Z53)

Z53.2 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of procedure and treatment not carried out because of patient's decision for other and unspecified reasons. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Unspecified diagnosis codes like Z53.2 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Specific Coding Applicable to Proc/trtmt not crd out bec pt decision for oth/unsp reason

Non-specific codes like Z53.2 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for proc/trtmt not crd out bec pt decision for oth/unsp reason:

  • Use Z53.20 for Procedure and treatment not carried out because of patient's decision for unspecified reasons - BILLABLE CODE

  • Use Z53.21 for Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider - BILLABLE CODE

  • Use Z53.29 for Procedure and treatment not carried out because of patient's decision for other reasons - BILLABLE CODE

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.