2024 ICD-10-CM Diagnosis Code Z53.8

Procedure and treatment not carried out for other reasons

ICD-10-CM Code:
Z53.8
ICD-10 Code for:
Procedure and treatment not carried out for other reasons
Is Billable?
Yes - 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)

Z53.8 is a billable diagnosis code used to specify a medical diagnosis of procedure and treatment not carried out for other reasons. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

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 attended
  • 15 year examination not attended
  • 18 month examination not attended
  • 2.5 year examination not attended
  • 3.5 year examination not attended
  • 4.5 year examination not attended
  • 8-9 month exam not attended
  • Child 1 year examination not attended
  • Child 21 month examination not attended
  • Child 3 year exam not attended
  • Child 39 month examination not attended
  • Child 6 month examination not attended
  • Child 6 week examination not attended
  • Child 7 month examination not attended
  • Child 8 week examination not attended
  • 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
  • Did not attend - appointment mix-up
  • Doctor walked out
  • Drug discontinued - too expensive
  • Drug not available - out of stock
  • Drug not available-off market
  • Drug not taken - patient lost tablets
  • Drug not taken - problem swallowing
  • Drug not taken - side-effects
  • Drug treatment stopped - patient ran out of tablets
  • Drug treatment stopped patient ran out of medication
  • ERCP not completed due to anatomical derangements from previous surgery
  • Late for appointment
  • Mammography not attended
  • Medication therapy management recommendation refused by prescriber
  • Neonatal vitamin K administration declined by caregiver
  • No antenatal care
  • No antenatal care: not known pregnant
  • No anti-cancer treatment - poor performance status
  • No anti-cancer treatment - significant co-morbidity
  • No anti-cancer treatment - watchful waiting
  • No anti-cancer treatment available
  • No anti-cancer treatment due to unknown primary
  • No history of procedure
  • No smear - benign hysterectomy
  • No smear - no cervix
  • No smear - not sexually active
  • No smear-amputation of cervix
  • Patient on vacation
  • Patient too late
  • Patient unable to contact out of hours doctor
  • Radiographic imaging procedure not carried out
  • Reason for no specific anti-cancer treatment
  • Reason for no specific anti-cancer treatment
  • Reason for no specific anti-cancer treatment
  • Reason for no specific anti-cancer treatment
  • Reason for no specific anti-cancer treatment
  • Reasons for treatment
  • Reasons for treatment
  • Reasons for treatment
  • Reasons for treatment
  • Reasons for treatment
  • Reasons for treatment delay
  • Reasons for treatment delay
  • Recommendation refused
  • Tablets too large to swallow
  • Treatment delay - clinical reason
  • Treatment delay - logistic reason
  • Treatment not available

Clinical Classification

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

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 Z53.8 to ICD-9-CM

  • ICD-9-CM Code: V64.3 - No proc for reasons NEC
    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.