2024 ICD-10-CM Diagnosis Code Z53.9

Procedure and treatment not carried out, unspecified reason

ICD-10-CM Code:
Z53.9
ICD-10 Code for:
Procedure and treatment not carried out, unspecified reason
Is Billable?
Yes - Valid for Submission
Code Navigator:

Code Classification

  • Factors influencing health status and contact with health services
    (Z00–Z99)
    • Encounters for other specific health care
      (Z40-Z53)
      • Persons encountering health services for specific procedures and treatment, not carried out
        (Z53)

Z53.9 is a billable diagnosis code used to specify a medical diagnosis of procedure and treatment not carried out, unspecified reason. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

This code 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.

Unspecified diagnosis codes like Z53.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

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

  • 360 degree sweep of cervix not performed
  • Adult not examined
  • Allergy testing not done
  • Antenatal blood group screening not done
  • Antenatal sickle screening not done
  • Antenatal syphilis screening not done
  • Antibody screen not done
  • Asthma action plan not done
  • Auditory/vestibular test not done
  • Autopsy waived
  • Block dissection of cervical lymph nodes not done
  • Blood pressure not taken
  • Body mass index follow-up planning not done
  • Body mass index measurement not done
  • Bone density screening not done
  • Bowel preparation not done
  • Breast cancer screening not done
  • Canceled operative procedure
  • Cardiac function test not done
  • Cardiopulmonary resuscitation not attempted
  • Cardiovascular system not examined
  • Cell phenotyping not performed
  • Cervical cancer screening not done
  • Chemotherapy not done
  • Child examination at 10 days with explicit context
  • Child examination at birth with explicit context
  • Child not examined
  • Child not examined at 10 days
  • Child not examined at birth
  • Colorectal cancer screening not done
  • Counseling about firearm safety not done
  • Counseling about opioid safety not done
  • CSF chemistry - not tested
  • CSF: not examined
  • Cytogenetic study not performed
  • Delay of chemotherapy
  • Delay of drug therapy
  • Delayed hypersensitivity skin test for histoplasmin not done
  • Depression screening not done
  • Determination of pattern of resistance to antiviral agent not done
  • Diabetes mellitus screening not done
  • Diabetic education not done
  • Diabetic foot examination not done
  • Diabetic retinal eye exam not done
  • Did not attend - no reason
  • Discharge from hospital canceled
  • Domestic abuse not discussed
  • Drug discontinued - reason unknown
  • Drug not collected - no reason
  • Drug not collected-lost script
  • Drugs not issued
  • Drugs not taken/completed
  • ECG not done
  • Endoscopy not carried out
  • ENT examination not performed
  • Exercise tolerance test not done
  • Failed encounter - message left on answer machine
  • Failed encounter - message left with household member
  • Failed encounter - message left with work place
  • Failed encounter - no answer when rang back
  • Failed encounter - phone number unobtainable
  • Failed encounter - practitioner access denied
  • Fall risk assessment not done
  • Feces not examined
  • Finding of serum tumor marker level
  • General examination not done
  • GIT not examined
  • GU system not examined
  • Heart failure education not done
  • Hematology test request - not done
  • Hemoglobin A1C test not done
  • Hemoglobin not estimated
  • Human anti-D immunoglobulin not administered
  • Human immunodeficiency virus screening not done
  • Hyperlipidemia screening test not done
  • Hypersensitivity skin test not done
  • Hypertension monitoring check not done
  • Hypertension monitoring status
  • Immunophenotypic analysis not done
  • Kidney biopsy not done
  • Kveim test not done
  • Laboratory test requested - not done
  • Lung function testing not done
  • Lung volume test not done
  • Mantoux test not done
  • Medication education not done
  • Medication not administered
  • Metabolic function not tested
  • Multidisciplinary team falls assessment defaulted
  • Musculoskeletal test not done
  • Nervous system not examined
  • Neurological diagnostic procedure - not done
  • No antenatal care
  • No anti-cancer treatment - advanced stage cancer
  • No history of procedure
  • No stain applied
  • Non-surgical biopsy not done
  • Operation abandoned
  • Operation abandoned before onset
  • Operation not completed
  • Operative procedure canceled after time of induction of anesthesia
  • Operative procedure canceled before anesthesia start time
  • Operative procedure canceled before time of induction of anesthesia
  • Orthopedic exam. not done
  • Osteoporosis risk assessment defaulted
  • Patient assessment for procedure not done
  • Patient died before anti-cancer treatment
  • Patient not examined
  • Peak expiratory flow not done
  • Postnatal depression not discussed
  • Previously initiated dental therapy not completed
  • Primary health care team falls assessment defaulted
  • Procedure discontinued by doctor
  • Procedure discontinued by healthcare professional
  • Procedure not done
  • Procedure not ordered
  • Radiation therapy not done
  • Radiographic imaging procedure not carried out
  • Reason for no specific anti-cancer treatment
  • Reason for no specific anti-cancer treatment
  • Reasons for treatment
  • Reasons for treatment
  • Referral to smoking cessation assistance not done
  • Respiratory flow rate not measured
  • Respiratory system not examined
  • Retinae not examined
  • Robot assisted laparoscopic cholecystectomy not completed
  • Screening for posttraumatic stress disorder not done
  • Serum metabolic panel not done
  • Serum tumor marker stage SX
  • Shuttle walking test not done
  • Special cardiovascular system test not done
  • Special ENT procedure not done
  • Special female test not done
  • Special GIT test not done
  • Special male test not done
  • Special urinary test not done
  • Spirometry not done
  • Susceptibility skin test not done
  • Tobacco cessation education not done
  • Tobacco usage screening not done
  • Urine bacteria test not done
  • Urine blood test not done
  • Urine glucose test not done
  • Urine ketone test not done
  • Urine leukocyte test not done
  • Urine not examined
  • Urine pH test not done
  • Urine protein test not done
  • Urine urobilinogen not tested
  • Visual testing not done

Clinical Classification

Clinical Information

  • Medication Not Administered

    an indication that medication was not administered.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM 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.

Convert Z53.9 to ICD-9-CM

  • ICD-9-CM Code: V64.3 - No proc for reasons NEC
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.