ICD-10-CM Tabular Index · Chapter 21 · FY 2026 Z53

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 2026, and the category headers group them but cannot themselves be billed.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
16
Diagnosis Codes
12
Billable Codes
Z53
Code Range
Z40–Z53
Parent Section
ICD-10-CM

Codes in the Z53 Range 16 codes · 12 billable

16 of 16 shown
  • 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

The ICD-10 code Z53 category is used for situations where a medical procedure or treatment encounter occurs but the procedure is ultimately not performed. This includes various reasons such as medical contraindications, patient decisions, and procedural changes.

The code Z53 covers individuals who encounter healthcare services for specific procedures or treatments that are not carried out. Subcodes clarify the reasons: Z53.0 identifies procedures not done due to contraindications, including specific cases like patient smoking (Z53.01) or other medical contraindications listed under Z53.09. When patients decline treatment for religious or personal beliefs, codes like Z53.1 and its subcategories (Z53.20, which covers declines of specific screenings and therapies) are used. Codes such as Z53.21 and Z53.29 capture decisions where patients leave prior to treatment or refuse for varied reasons. Additionally, Z53.3 series documents when minimally invasive procedures convert to open surgery. Other reasons for discontinuation or missed procedures fall under Z53.8 and nonspecific or unspecified cases are coded as Z53.9. These codes help in documenting and billing scenarios where procedures are planned but not completed for distinct medical or patient-centered reasons.

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, 2025 through September 30, 2026. 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 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.