Valid for Submission
Z28.82 is a billable diagnosis code used to specify a medical diagnosis of immunization not carried out because of caregiver refusal. The code Z28.82 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code Z28.82 might also be used to specify conditions or terms like influenza vaccination declined, influenza vaccination declined by caregiver, pneumococcal vaccination declined, pneumococcal vaccination declined by caregiver, refusal of treatment by parents , vaccination declined by caregiver, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
The code Z28.82 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.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z28.82:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Immunization not carried out because of guardian refusal
- Immunization not carried out because of parent refusal
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- immunization not carried out because of caregiver refusal because of religious belief Z28.1
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z28.82 are found in the index:
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Influenza vaccination declined
- Influenza vaccination declined by caregiver
- Pneumococcal vaccination declined
- Pneumococcal vaccination declined by caregiver
- Refusal of treatment by parents
- Vaccination declined by caregiver
- Vaccine refused by parent