Z28.21

Billable

Immunization not carried out because of patient refusal

Immunization not carried out because of patient refusal

Status

Billable / Specific

Block

Z20-Z29

Parent Code

Z28.2

Coding Notes

Includes

Conditions included under this code

  • vaccination not carried out

Code Also

A second code may be required; sequencing depends on circumstances

Related Codes(2)
Z28.20

Immuniz not crd out bec patient decision for unsp reason

BillableZ28.29

Immuniz not crd out bec patient decision for oth reason

Billable
Also Known As / Clinical Terms(223)

SNOMED CT

UMLS

Clinical Terms

  • Meningitis C immunisation declined
  • 2019-nCoV recombinant spike protein antigen vaccine declined
  • Severe acute respiratory syndrome coronavirus 2 recombinant spike protein antigen vaccine declined
  • Second dose of SARS-CoV-2 recombinant spike protein antigen vaccine declined
  • Influenza vaccine declined
  • Inactivated whole COVID-19 antigen vaccine declined
  • 2019-nCoV vaccine declined
  • 2019 novel coronavirus vaccine declined
  • 2019 novel coronavirus mRNA vaccine declined
  • Inactivated whole 2019 novel coronavirus antigen vaccine declined
  • Bacillus Calmette-Guerin (BCG) vaccination declined
  • MMR (measles, mumps and rubella) vaccination declined
  • Tetanus vaccination refused by patient
  • Pneumococcal vaccine refused
  • Vaccination hesitancy by parent
  • Immunization hesitancy by patient
  • Second dose of 2019-nCoV non-replicating viral vector vaccine declined
  • Hepatitis B immunisation declined
  • Varicella zoster vaccination declined by patient
  • SARS-CoV-2 DNA plasmid encoding spike protein vaccine declined
  • Immunisation hesitancy by parent
  • Second dose of inactivated whole COVID-19 antigen vaccine declined
  • Vaccine declined by patient
  • 2019-nCoV antigen vaccine declined
  • Vaccination hesitancy by patient
  • COVID-19 recombinant spike protein antigen vaccine declined
  • Second dose of inactivated whole 2019-nCoV antigen vaccine declined
  • Second dose of severe acute respiratory syndrome coronavirus 2 virus-like particle antigen vaccine declined
  • Second dose of 2019 novel coronavirus recombinant spike protein antigen vaccine declined
  • Second dose of 2019-nCoV mRNA vaccine declined
  • Tetanus vaccination declined by patient
  • BCG vaccination declined
  • Varicella zoster vaccination refused by patient
  • Influenza vaccine refused
  • SARS-CoV-2 mRNA vaccine declined
  • Tetanus vaccine declined
  • 2019-nCoV mRNA vaccine declined
  • COVID-19 antigen vaccine declined
  • SARS-CoV-2 antigen vaccine declined
  • Varicella zoster vaccine refused
  • Pertussis vaccination declined
  • Second dose of COVID-19 mRNA vaccine declined
  • Hepatitis A vaccination declined
  • Severe acute respiratory syndrome coronavirus 2 virus-like particle antigen vaccine declined
  • Meningitis C immunization declined
  • Severe acute respiratory syndrome coronavirus 2 deoxyribonucleic acid plasmid encoding spike protein vaccine declined
  • Human respiratory syncytial virus vaccination declined
  • Vaccine refused by patient
  • Second dose of inactivated whole severe acute respiratory syndrome coronavirus 2 antigen vaccine declined
  • 2019-nCoV non-replicating viral vector vaccine declined
  • 2019 novel coronavirus DNA plasmid encoding spike protein vaccine declined
  • SARS-CoV-2 non-replicating viral vector vaccine declined
  • Immunisation hesitancy by patient
  • Human papillomavirus vaccination declined
  • Severe acute respiratory syndrome coronavirus 2 messenger ribonucleic acid vaccine declined
  • Second dose of COVID-19 virus-like particle antigen vaccine declined
  • COVID-19 antigen virus-like particle antigen declined
  • Second dose of severe acute respiratory syndrome coronavirus 2 non-replicating viral vector vaccine declined
  • Second dose of COVID-19 recombinant spike protein antigen vaccine declined
  • Meningitis B vaccination declined
  • Varicella zoster vaccine declined
  • Meningitis C immunisation refused
  • Inactivated whole SARS-CoV-2 antigen vaccine declined
  • Second dose of inactivated whole SARS-CoV-2 antigen vaccine declined
  • Pneumococcal vaccine declined
  • Second dose of SARS-CoV-2 non-replicating viral vector vaccine declined
  • Booster meningitis B vaccination declined
  • 2019 novel coronavirus antigen vaccine declined
  • Second dose of COVID-19 non-replicating viral vector vaccine declined
  • Severe acute respiratory syndrome coronavirus 2 antigen vaccine declined
  • COVID-19 vaccine declined
  • Second meningitis B vaccination declined
  • 2019 novel coronavirus recombinant spike protein antigen vaccine declined
  • COVID-19 DNA plasmid encoding spike protein vaccine declined
  • Severe acute respiratory syndrome coronavirus 2 vaccination declined
  • Second dose of SARS-CoV-2 virus-like particle antigen vaccine declined
  • Inactivated whole 2019-nCoV antigen vaccine declined
  • 2019 novel coronavirus non-replicating viral vector vaccine declined
  • Meningococcal vaccination declined
  • SARS-CoV-2 vaccination declined
  • RSV (respiratory syncytial virus) vaccination declined
  • 2019-nCoV DNA plasmid encoding spike protein vaccine declined
  • Second dose of 2019 novel coronavirus non-replicating viral vector vaccine declined
  • Inactivated whole severe acute respiratory syndrome coronavirus 2 antigen vaccine declined
  • Hepatitis B vaccination declined
  • Second dose of 2019-nCoV recombinant spike protein antigen vaccine declined
  • Influenza vaccination declined
  • Second dose of 2019-nCoV virus-like particle antigen vaccine declined
  • Second dose of severe acute respiratory syndrome coronavirus 2 messenger ribonucleic acid vaccine declined
  • Second dose of 2019 novel coronavirus mRNA vaccine declined
  • COVID-19 non-replicating viral vector vaccine declined
  • Second dose of 2019 novel coronavirus virus-like particle antigen vaccine declined
  • Severe acute respiratory syndrome coronavirus 2 non-replicating viral vector vaccine declined
  • Measles, mumps and rubella vaccination declined
  • 2019-nCoV virus-like particle antigen vaccine declined
  • SARS-CoV-2 virus-like particle antigen vaccine declined
  • Second dose of SARS-CoV-2 mRNA vaccine declined
  • Tetanus vaccine refused
  • Immunization hesitancy by parent
  • Influenza A virus subtype H1N1 vaccination declined
  • Pneumococcal vaccination declined
  • COVID-19 mRNA vaccine declined
  • SARS-CoV-2 recombinant spike protein antigen vaccine declined
  • First meningitis B vaccination declined
  • Vaccination declined
  • Bacillus Calmette-Guerin vaccination declined
  • Meningitis C immunization refused
  • Hepatitis B immunization declined
  • Second dose of severe acute respiratory syndrome coronavirus 2 recombinant spike protein antigen vaccine declined
  • Second dose of inactivated whole 2019 novel coronavirus antigen vaccine declined
  • 2019 novel coronavirus virus-like particle antigen vaccine declined
Frequently Asked Questions
What is the ICD-10 code for immunization not carried out because of patient refusal?

The ICD-10-CM code for immunization not carried out because of patient refusal is Z28.21. The full clinical description is "Immunization not carried out because of patient refusal". Z28.21 is a billable/specific code that can be used on insurance claims and medical billing.

What does ICD-10 code Z28.21 mean?

ICD-10-CM code Z28.21 represents “Immunization not carried out because of patient refusal”. It is classified under Chapter 22: Factors Influencing Health Status and Contact With Health Services and is a billable/specific code that can be used on a claim.

Is Z28.21 a billable code?

Yes, Z28.21 is a billable/specific ICD-10-CM code and can be used to indicate a diagnosis on a medical claim.

What chapter is Z28.21 in?

Z28.21 is in Chapter 22: Factors Influencing Health Status and Contact With Health Services (codes Z00-Z99).

What SNOMED CT codes does Z28.21 map to?

Z28.21 maps to 35 SNOMED CT concepts: 1193582005, 1145033000, 1145032005, 1157118003, 1162649002, and 30 more. SNOMED CT is a clinical terminology used in electronic health records.

What are the UMLS CUIs for Z28.21?

Z28.21 is linked to 1 UMLS Concept Unique Identifier: C2910677. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

How does Z28.21 relate to ICF functioning codes?

ICF (International Classification of Functioning, Disability and Health) codes describe how conditions like immunization not carried out because of patient refusal affect a person's functioning: body functions, activities, participation, and environmental factors. AutoICD provides ICF Core Sets for 12+ conditions and can map clinical text to ICF categories automatically. Browse the ICF directory to explore functioning codes.

What is the ICD-11 equivalent of Z28.21?

There is no direct ICD-11 mapping available for Z28.21 in the WHO crosswalk tables. This may mean the concept is classified differently in ICD-11. Use the ICD-10 to ICD-11 converter to search for related codes.

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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.