ICD-10 Diagnosis Code Z53.20

Proc/trtmt not crd out bec pt decision for unsp reasons

Diagnosis Code Z53.20

ICD-10: Z53.20
Short Description: Proc/trtmt not crd out bec pt decision for unsp reasons
Long Description: Procedure and treatment not carried out because of patient's decision for unspecified reasons
This is the 2018 version of the ICD-10-CM diagnosis code Z53.20

Valid for Submission
The code Z53.20 is valid for submission for HIPAA-covered transactions.

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)

Information for Medical Professionals

Code Edits
The following edits are applicable to this code:
Unacceptable principal diagnosis Additional informationCallout TooltipUnacceptable 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 to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Abdominal aortic aneurysm screening declined
  • Administration of blood product declined
  • Advance care planning declined
  • Alcohol brief intervention refused
  • Ankle brachial pressure index test declined
  • Antiviral therapy declined
  • Assessment of physical health declined
  • Blood glucose test declined
  • Blood transfusion declined
  • Breast screening declined
  • Breastfeeding support declined
  • Carvedilol therapy declined
  • Cervical smear refused
  • Colonoscopy refused
  • Consent declined for examination of cardiovascular system
  • Consent declined for examination of central nervous system
  • Consent declined for examination of gastrointestinal system
  • Consent declined for examination of genitourinary system
  • Consent declined for examination of musculoskeletal system
  • Consent declined for examination of respiratory system
  • Discussion about advance care planning declined
  • Failed encounter
  • Foot pulse check declined
  • History taking of sexual orientation declined
  • Home oxygen therapy declined
  • Immunization refused
  • Long acting reversible contraception declined
  • Measurement of waist circumference declined
  • Medication therapy management recommendation refused by patient
  • Mental health assessment declined
  • Mother refuses to breastfeed
  • Nebivolol therapy refused
  • Over 75 years of age health check declined
  • Patient declines information
  • Patient declines smoking cessation information
  • Patient declines tobacco cessation information
  • Patient refuses to enroll in care management program
  • Patient refuses to release medical information
  • Patient refuses to take medication
  • Patient refuses to verify personal information
  • Phosphodiesterase 5 inhibitor declined
  • Procedure discontinued by patient
  • Raloxifene therapy declined
  • Recommendation refused
  • Referral to cardiac rehabilitation program declined
  • Referral to erectile dysfunction clinic declined
  • Referral to heart failure exercise program declined
  • Refusal of treatment by patient
  • Refusal of treatment by patient against dental advice
  • Refuses hypertension monitoring
  • Routine enquiry about domestic abuse declined
  • Screening chest X-ray declined
  • Support for caregiver during weaning declined
  • Teriparatide therapy declined
  • Tuberculosis screening declined
  • Urine dipstick test declined
  • Vaginal birth after previous cesarean section refused
  • Weight management advice declined

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