Persons encountering health services for specific procedures and treatment, not carried out (Z53) ICD-10-CM
The Z53 code range covers persons encountering health services for specific procedures and treatment, not carried out with 16 ICD-10-CM diagnosis codes. 12 of them are billable and valid for claim submission in fiscal year 2027, and the category headers group them but cannot themselves be billed.
Codes in the Z53 Range 16 codes · 12 billable
- Z53 Persons encountering health services for specific procedures and treatment, not carried outNon-billable
- Z53.0 Procedure and treatment not carried out because of contraindicationNon-billable
- Z53.01 Procedure and treatment not carried out due to patient smoking
- Z53.09 Procedure and treatment not carried out because of other contraindication
- Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
- Z53.2 Procedure and treatment not carried out because of patient's decision for other and unspecified reasonsNon-billable
- Z53.20 Procedure and treatment not carried out because of patient's decision for unspecified reasons
- Z53.21 Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
- Z53.29 Procedure and treatment not carried out because of patient's decision for other reasons
- Z53.3 Procedure converted to open procedureNon-billable
- Z53.31 Laparoscopic surgical procedure converted to open procedure
- Z53.32 Thoracoscopic surgical procedure converted to open procedure
- Z53.33 Arthroscopic surgical procedure converted to open procedure
- Z53.39 Other specified procedure converted to open procedure
- Z53.8 Procedure and treatment not carried out for other reasons
- Z53.9 Procedure and treatment not carried out, unspecified reason
About the Z53 Code Range
A person comes for a specific procedure or treatment, but it does not take place. These codes also include procedures changed to an open procedure.
Z53.0 groups procedures and treatments not carried out because of patient smoking or another contraindication, a reason they cannot go ahead. Z53.1 identifies a patient’s decision based on belief or group pressure. Z53.2 separates other decisions, unspecified decisions, and leaving before being seen.
Z53.3 separates procedures changed to an open procedure by the type of procedure. Z53.8 identifies other reasons care did not take place; Z53.9 identifies an unspecified reason.
Questions About This Page
How many billable codes are in the Z53 range?
Of the 16 codes in this range, 12 are billable and valid for claim submission from October 1, 2026 through September 30, 2027. Category header codes group them but cannot be reported on claims.
What does the Z53 range classify?
The range classifies persons encountering health services for specific procedures and treatment, not carried out. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.
