ICD-10-CM Code Z53.09

Procedure and treatment not carried out because of other contraindication

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

Z53.09 is a billable code used to specify a medical diagnosis of procedure and treatment not carried out because of other contraindication. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z53.09 might also be used to specify conditions or terms like administration of medication contraindicated, administration of sulfonylurea contraindicated, angiotensin converting enzyme inhibitors contraindicated, angiotensin ii receptor antagonists contraindicated, anticoagulation contraindicated, antiplatelet therapy contraindicated, etc

The code Z53.09 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.

Short Description:Proc/trtmt not carried out because of contraindication
Long Description:Procedure and treatment not carried out because of other contraindication

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 Z53.09 are found in the index:

Code Edits

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:

  • 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.


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

  • Administration of medication contraindicated
  • Administration of sulfonylurea contraindicated
  • Angiotensin converting enzyme inhibitors contraindicated
  • Angiotensin II receptor antagonists contraindicated
  • Anticoagulation contraindicated
  • Antiplatelet therapy contraindicated
  • Aspirin prophylaxis contra-indicated
  • Beta blocker contraindicated
  • Bisoprolol contraindicated
  • Bisphosphonates contraindicated
  • Bupropion contraindicated
  • Calcium channel blocker contraindicated
  • Carvedilol contraindicated
  • Clopidogrel contraindicated
  • Combined calcium and vitamin D3 preparation contraindicated
  • Contraception contraindicated
  • Dipyridamole contraindicated
  • Diuretic contraindicated
  • Drug dependence home detoxification contraindicated
  • DXA scan contraindicated
  • Exercise tolerance test contraindicated
  • Fibrates contraindicated
  • Glitazones contraindicated
  • Hormone replacement therapy contraindicated
  • Lipid lowering therapy contraindicated
  • Medical contraindication
  • Medical contraindication to procedure
  • Medication not administered because contraindicated
  • Metformin contraindicated
  • Nebivolol contraindicated
  • Nicotine replacement therapy contraindicated
  • Nitrate contraindicated
  • Non-steroidal anti-inflammatory drugs contraindicated
  • Oral contraceptive pill contraindicated
  • Osteoporosis medication contraindicated
  • Phosphodiesterase-5 inhibitor contraindicated
  • Procedure contraindicated
  • Procedure not done because contraindicated
  • Rabies post exposure prophylaxis contraindicated
  • Raloxifene contraindicated
  • Selective estrogen receptor modulator contraindicated
  • Sensitivity contraindication to procedure
  • Simvastatin contraindicated
  • Spirometry reversibility testing contraindicated
  • Statins contraindicated
  • Strontium ranelate contraindicated
  • Surgery contraindicated
  • Surgical contraindication
  • Teriparatide contraindicated
  • Termination of pregnancy contraindicated
  • Thrombolysis contraindicated
  • Thrombolytic agent not administered because contraindicated
  • Warfarin contraindicated

Convert Z53.09 to ICD-9

  • V64.1 - No proc/contraindication (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Encounters for other specific health care (Z40-Z53)
      • Persons encntr hlth serv for spec proc & trtmt, not crd out (Z53)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020