2024 ICD-10-CM Diagnosis Code Z53.20

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• 10 year examination not wanted
• 15 year examination not wanted
• 18 month examination not wanted
• 2.5 year examination not wanted
• 3.5 year examination not wanted
• 4.5 year examination not wanted
• 8-9 month exam not wanted
• Abdominal aortic aneurysm screening declined
• Administration of blood product declined
• Administration of human anti-D immunoglobulin declined
• Adult health examination declined
• Advance care planning declined
• AFP blood test not wanted
• Alcohol brief intervention refused
• Alcohol consumption screening test declined
• Alcohol use education declined
• Ambulance transport to hospital declined
• Anal examination declined
• Anal Papanicolaou smear declined
• Angiocardiography declined
• Angiotensin converting enzyme inhibitor declined
• Angiotensin II receptor antagonist declined
• Ankle brachial pressure index test declined
• Annual visit declined
• Antenatal amniocentesis - not wanted
• Antenatal care: not attended
• Antenatal care: not wanted
• Antenatal risk assessment not wanted
• Antenatal screening declined
• Antenatal screening for Down syndrome declined
• Antenatal screening for Down, Edwards and Patau syndromes declined
• Antenatal screening for Edwards and Patau syndromes declined
• Antenatal screening for human immunodeficiency virus declined
• Antenatal screening for viral hepatitis type B declined
• Antenatal syphilis screening declined by patient
• Antenatal thalassemia screening declined
• Antenatal ultrasound scan in first trimester not wanted
• Antenatal ultrasound scan in second trimester not wanted
• Antenatal ultrasound scan not wanted
• Antibiotic prophylaxis declined
• Anticoagulation declined
• Antihypertensive therapy declined
• Antineoplastic chemotherapy regimen declined
• Antiviral therapy declined
• Aspirin prophylaxis declined
• Assessment of physical health declined
• Assessment of quality of life declined
• Asthma action plan declined
• Asthma medication declined
• Asthma monitoring declined
• Autism screening declined
• Beta blocker therapy declined
• Bisphosphonates declined
• Blood glucose test declined
• Blood pressure procedure declined
• Blood test declined
• Blood transfusion declined
• Body height measurement declined
• Body mass index follow-up planning declined
• Body mass index measurement declined
• Body weight measurement declined
• Bone density scan declined
• Breast cancer screening declined
• Breast neoplasm screening status
• Breast screening non-attender
• Breastfeeding support declined
• Brushing of teeth declined
• Bupropion declined
• Calcium channel blocker declined
• Cancer cervix screening - not attended
• Cardiac function test declined
• Cardiac rehabilitation declined
• Cardiovascular disease risk assessment declined
• Carotid artery doppler declined
• Carvedilol therapy declined
• Cervical cancer Papanicolaou smear screening declined
• Chemical dependency consultation declined
• Chemotherapy declined
• Child 1 year examination not wanted
• Child 21 month examination not wanted
• Child 3 year exam not wanted
• Child 39 month examination not wanted
• Child 6 month examination not wanted
• Child 6 week examination not wanted
• Child 7 month examination not wanted
• Child 8 week examination not wanted
• Child examination at 1 year with explicit context
• Child examination at 10 years with explicit context
• Child examination at 15 years with explicit context
• Child examination at 18 months with explicit context
• Child examination at 2.5 years with explicit context
• Child examination at 21 months with explicit context
• Child examination at 3 years with explicit context
• Child examination at 3.5 years with explicit context
• Child examination at 39 months with explicit context
• Child examination at 4.5 years with explicit context
• Child examination at 6 months with explicit context
• Child examination at 6 weeks with explicit context
• Child examination at 7 months with explicit context
• Child examination at 8 to 9 months with explicit context
• Child examination at 8 weeks with explicit context
• Child examination declined
• Child surveillance not wanted
• Chlamydia screening declined
• Cholesterol reduction program declined
• Clinical trial declined
• Clopidogrel declined
• Colon cancer screening declined
• Colonoscopy declined
• Combined calcium and vitamin D3 preparation declined
• Community resource finding
• Congenital hypothyroidism screening declined
• Consent declined for examination of cardiovascular system
• Consent declined for examination of central nervous system
• Consent declined for examination of gastrointestinal system
• Consent declined for examination of genitourinary system
• Consent declined for examination of musculoskeletal system
• Consent declined for examination of respiratory system
• Consent for operation refused
• Coronary arteriography declined
• Coronary heart disease monitoring declined
• Counseling declined
• Counseling not wanted
• CT scan brain declined
• Cystic fibrosis screening declined
• Declined consent for treatment
• Declined to perform inhaler technique
• Dental examination declined
• Dental fluoride treatment declined
• Denture cleaning declined
• Depression follow-up declined
• Depression screening declined
• Developmental screening declined
• Diabetes screening declined
• Diabetic foot examination declined
• Diabetic retinopathy screening declined
• Dialysis therapy discontinued by patient
• Did not attend
• Did not attend - reason given
• Did not attend abdominal aortic aneurysm screening
• Did not attend cardiac clinic
• Did not attend cholesterol clinic
• Did not attend community psychiatric nurse review
• Did not attend dentist in last 12 - 18 months
• Did not attend diabetic clinic
• Did not attend dietetic clinic
• Did not attend hospital appointment
• Did not attend peripheral vascular disease clinic
• Did not attend physiotherapy appointment
• Did not attend podiatry clinic
• Did not attend psychiatry clinic
• Did not attend substance misuse clinic
• Discussion about advance care planning declined
• Disease modifying antirheumatic drug declined
• Diuretic declined
• DNA - Did not attend mental health appointment
• DNA - Did not attend outpatient appointment
• Domestic abuse screening declined
• Double test not wanted
• Drug declined by patient
• Drug declined by patient - reason unknown
• Drug not collect -pat.disagree
• Drug screening declined
• DXA scan declined
• Echocardiogram declined
• Education about physical exercise refused
• Education declined
• Environmental risk assessment declined
• Estrogen receptor antagonist therapy declined
• Examination of skin declined
• Exercise tolerance test declined
• Eye examination declined
• Failed encounter
• Fall risk assessment declined
• Fall risk care plan declined
• Follow-up encounter declined
• Foot pulse check declined
• Functional assessment declined
• GAD-7 scale declined
• Geriatric monitoring declined
• Geriatric screening declined
• Glaucoma screening declined
• Hearing screening declined
• Heart failure education declined
• Hemoglobin A1C test declined
• Hepatic function panel declined
• Hepatitis C screening declined
• History taking declined by patient
• History taking of sexual orientation declined
• HIV screening declined
• Home oxygen therapy declined
• Hormone replacement therapy declined
• Hyperlipidemia screening test declined
• Hypertension monitoring declined
• Hypertension treatment declined
• Imaging procedure declined
• Inadequate consent
• Information declined
• Inhaled bronchodilator declined
• Insulin declined
• Invitation to participate in research study declined
• Lead screening declined
• Left care setting having refused treatment
• Lipid lowering therapy declined
• Lipid screening declined
• Long acting reversible contraception declined
• Lung cancer screening declined
• Magnetic resonance imaging scan declined
• Mammogram declined
• Maternal postnatal examination declined
• Maternal postnatal examination not attended
• Measurement of waist circumference declined
• Medication declined
• Medication dosage increase declined
• Medication review declined
• Medication therapy management recommendation refused by patient
• Medium-chain acyl-coenzyme A dehydrogenase deficiency screening test declined
• Mental health assessment declined
• Monitoring for stress declined
• Monitoring of hormone replacement therapy declined
• Monitoring of smoking cessation therapy declined
• Multidisciplinary team falls assessment declined
• Naloxone therapy refused
• Nebivolol therapy declined
• Nephropathy screening declined
• New patient screening declined
• Nicotine replacement therapy declined
• Nitrate declined
• Nurse triage declined
• Nutrition counseling declined
• Obesity monitoring declined
• Osteoporosis monitoring declined
• Osteoporosis risk assessment declined
• Osteoporosis screening declined
• Osteoporosis treatment declined
• Over 75 years of age health check declined
• Parent craft not wanted
• Patient declined hematology test
• Patient declined laboratory test
• Patient declined transportation
• Patient declines smoking cessation information
• Patient defaulted from follow-up
• Patient refuses community resource assistance
• Patient refuses day hospital
• Patient refuses hospital admission
• Patient refuses to enroll in care management program
• Patient refuses to release medical information
• Patient refuses to verify personal information
• Persistent non-attender
• Phenylketonuria screening declined
• Phosphodiesterase 5 inhibitor declined
• Physical assessment examination declined
• Platelet aggregation inhibitor therapy declined
• Poor attender
• Postnatal care declined
• Prescription of anticipatory care medication declined
• Primary health care team falls assessment declined
• Procedure declined - uncooperative
• Procedure discontinued by patient
• Prostate cancer screening declined
• Provision of chaperone declined
• Provision of patient held diabetes record declined
• Radiology declined
• Radiotherapy declined by patient
• Raloxifene therapy declined
• Reasons for treatment delay
• Recommendation refused
• Recommendation refused
• Recommendation refused by patient
• Referral declined by patient
• Referral to cardiac rehabilitation program declined
• Referral to cardiologist declined by patient
• Referral to colorectal surgeon declined by subject
• Referral to complex care service declined
• Referral to dietician declined
• Referral to erectile dysfunction clinic declined
• Referral to gastroenterologist declined by subject
• Referral to gynecologist declined by subject
• Referral to heart failure exercise program declined
• Referral to minor ailments clinic declined by patient
• Referral to nephrologist declined by patient
• Referral to neurologist declined by patient
• Referral to oncologist declined by subject
• Referral to ophthalmologist declined by subject
• Referral to patient navigation service declined
• Referral to pharmacy service declined
• Referral to podiatrist declined
• Referral to psychiatrist declined by subject
• Referral to psychology service declined
• Referral to respiratory clinic declined
• Referral to respiratory physician declined by subject
• Referral to specialist alcohol treatment service declined by patient
• Referral to specialist declined
• Refusal by patient to provide information about ethnic group
• Refusal by patient to provide information about income details
• Refusal by patient to provide information about marital status
• Refusal by patient to provide information about racial group
• Refusal by patient to provide information about religion
• Refusal by patient to provide information about spoken language
• Refusal of treatment by patient against dental advice
• Refuses diabetes monitoring
• Refuses meals on wheels
• Registration for online access to local general practice service declined
• Review of advance care plan declined
• Risk assessment declined
• Routine enquiry about domestic abuse declined
• Rubella screening not wanted
• Sampling of chorionic villus declined
• Screening chest X-ray declined
• Screening declined
• Screening for Human papillomavirus declined
• Screening for malignant neoplasm of cervix declined
• Screening for malignant neoplasm of cervix not wanted
• Screening for posttraumatic stress disorder declined
• Screening invite -not attended
• Screening not wanted
• Selective estrogen receptor modulator declined
• Serum metabolic panel declined
• Shared care prescribing declined
• Shared care prescribing of drugs for dementia declined
• Sickle cell screening declined
• Social services help declined
• Spirometry test declined
• Statin declined
• Strontium ranelate declined
• Subject declined referral to service
• Subject declined to apply for medication assistance program
• Subject refused to request medication tier exception
• Support for caregiver during weaning declined
• Teriparatide therapy declined
• Thrombolytic therapy declined
• Thyroid function test declined
• Tobacco cessation information declined
• Tobacco use screening declined
• Treatment delay - patient choice
• Triple test not wanted
• Tuberculosis screening declined
• Type 2 diabetes mellitus risk assessment declined
• Urine dipstick test declined
• Vaginal birth after previous cesarean section declined
• Vascular disease risk assessment declined
• Vision screening declined
• Vitamin K prophylaxis declined
• Warfarin declined
• Weight management advice declined
• Well man health check declined
• Well woman health check declined

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

• Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Convert Z53.20 to ICD-9-CM

• ICD-9-CM Code: V64.06 - No vaccination-pt refuse
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
• ICD-9-CM Code: V64.2 - No proc/patient decision
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original 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.