Z53.20

Billable

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

Procedure and treatment not carried out because of patient's decision for unspecified reasons

Status

Billable / Specific

Chapter

22: Factors Influencing Health Status and Contact With Health Services

Block

Z40-Z53

Parent Code

Z53.2

Coding Notes

Excludes 2

Conditions not included here, but the patient may have both

•follow-up examination for medical surveillance after treatmentZ08-Z09

Related Codes(2)

Z53.21

Proc/trtmt not crd out d/t pt lv bef seen by hlth care prov

Billable Z53.29

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

Billable

Also Known As / Clinical Terms(1102)

SNOMED CT

UMLS

Clinical Terms

Hormone replacement therapy declined
Screening for PTSD (post-traumatic stress disorder) refused
Adult health examination declined
Hepatitis C treatment refused
Clinical imaging procedure refused
Severe acute respiratory syndrome coronavirus 2 test declined
Child examination at 6 months with explicit context
Provision of patient held diabetes record refused
Diabetic foot examination declined
Screening for Human papillomavirus declined
Antenatal screening for viral hepatitis type B refused
Poor attender
Administration of human rho(D) immunoglobulin refused
Anal exam declined
Nicotine replacement therapy refused
Skin examination declined
Screening for posttraumatic stress disorder declined
Environmental risk assessment declined
Enrollment in prescription medication assistance program declined
Asthma monitoring refused
Refusal by patient to provide information about religion
Subject declined referral to gynaecologist
Child examination at 15 years with explicit context
Bupropion declined
Support for caregiver during weaning declined
Referral to ophthalmologist refused by patient
Declined consent for surgical procedure
Failed encounter
3.5 year examination not wanted
Patient refused referral to gynaecologist
Monitoring of hormone replacement therapy refused
Declined to perform inhaler technique
Patient refused referral to colorectal surgeon
Antenatal amniocentesis - not wanted
Diuretic declined
Height measurement declined
Sickle cell screening declined
Thrombolytic therapy declined
Patient declined to provide information about ethnic group
Patient declined laboratory test
Antenatal care: not wanted
Echocardiogram declined
Antenatal thalassaemia screening declined
Child examination at 1 year with explicit context
Thyroid function test declined
Provision of chaperone declined
Refuses meals on wheels
Teriparatide therapy declined
Hepatitis B screening declined
Referral to gynaecologist declined by subject
Developmental screening declined
Breast cancer screening declined
Combined calcium and vitamin D3 preparation declined
Tobacco cessation information refused
Enrollment in prescription drug assistance program declined
Lipid screening declined
Medication review declined
Patient refused to provide information about racial group
Referral to chiropodist declined
Weight management advice declined
Chemotherapy refused
Child 6 month examination not wanted
Blood pressure procedure declined
Bupropion refused
Rubella screening not wanted
Nurse triage refused
Osteoporosis risk assessment declined
Antineoplastic chemotherapy regimen declined
Anal Papanicolaou smear declined
Child 8 week examination not wanted
Congenital hypothyroidism (CHT) screening declined
Geriatric screening declined
Patient declined referral to pulmonologist
Monitoring for stress declined
Administration of blood product declined
Consent declined for examination of respiratory system
Cardiac function test declined
Radiotherapy refused by patient
Consent for operation refused
Colon cancer screening declined
Estrogen receptor antagonist therapy refused
Delay - patient choice
Meals on wheels declined by patient
Hepatocellular carcinoma surveillance declined
Nutrition counseling declined
Refusal by patient to provide information about racial group
Provision of information about income refused by patient
Geriatric screening refused
Patient refuses to release medical information
Body mass index measurement refused
Osteoporosis monitoring refused
Enrollment in care management program declined
Postpartum care refused
Refusal by patient to provide information about ethnic group
Glaucoma screening declined
Referral to heart failure exercise programme declined
Patient refused information
Patient declined psychiatrist referral
Consent declined for sedation
Nebivolol therapy refused
Maternal postnatal examination refused
Warfarin declined
Chemotherapy declined
Hearing screening declined
Recommendation declined by patient
Dialysis therapy discontinued by patient
Clinical trial refused
Community resource finding
Provision of patient held diabetes record declined
ABPI (Ankle brachial pressure index) test declined
Monitoring of smoking cessation therapy refused
Patient refused psychiatrist referral
Coronavirus COVID-19 (coronavirus disease 2019) testing refused
Antenatal screening for viral hepatitis type B declined
Child examination at 8 to 9 months with explicit context
Refusal by patient to provide information about spoken language
Consent declined for examination of central nervous system
Consent declined for examination of gastrointestinal system
Vaginal birth after previous caesarean section declined
Drug declined by patient
Long acting reversible contraception declined
Plain X-ray declined
Referral to gynecologist declined by subject
Consent declined for examination of musculoskeletal system
Referral to cardiologist declined by patient
Referral to pharmacy service refused
CVD risk assessment declined
Clinical trial declined
Body weight measurement declined
Denture cleaning declined
Examination of skin declined
Functional assessment declined
History taking declined by patient
Referral to gastroenterologist declined by subject
Triple test not wanted
Antenatal thalassemia screening refused
Patient declined to provide information about spoken language
Angiotensin II receptor antagonist declined
Brushing of teeth declined
Enrollment in prescription drug assistance program refused
Child examination at 10 years with explicit context
Antenatal ultrasound scan in first trimester not wanted
Antenatal screening for Down syndrome declined
Patient refused laboratory test
Hypertension treatment declined
Referral to service declined by subject
Clinical imaging procedure declined
Child 39 month examination not wanted
Autism screening declined
2.5 year examination not wanted
Ankle brachial pressure index test declined
Vision screening declined
Subject refused referral to gynaecologist
Recommendation refused by patient
Referral to specialist alcohol treatment service declined by patient
Body mass index measurement refused by patient
15 year examination not wanted
Child examination at 4.5 years with explicit context
Vaginal birth after previous cesarean section refused
Osteoporosis screening declined
Asthma monitoring declined
Medication declined
Obesity monitoring refused
Alpha-fetoprotein gene (AFP) blood test not wanted
Drug screening declined
Procedure rejected
Hypertension monitoring declined
Provision of information about income declined by patient
Type II diabetes mellitus risk assessment declined
Antenatal ultrasound scan in second trimester not wanted
Assessment of quality of life refused
Patient refused hematology test
Review of advance care plan declined
Child examination at 3 years with explicit context
Body mass index measurement declined
Consent declined for examination of cardiovascular system
Blood test declined
Osteoporosis risk assessment refused
Coronary heart disease monitoring declined
Patient declined referral to nephrologist
Estrogen receptor antagonist therapy declined
Child examination at 39 months with explicit context
10 year examination not wanted
Hepatitis C screening declined
Provision of information about racial group declined by patient
Osteoporosis treatment declined
Follow-up encounter declined
DXA scan declined
Nephropathy screening declined
Annual visit declined
Monitoring of hormone replacement therapy declined
Hepatitis C treatment declined
Counselling declined
Subject declined ophthalmologist referral
Clopidogrel declined
Examination of skin refused
Antiviral therapy declined
Congenital hypothyroidism screening declined
18 month examination not wanted
Cardiac rehabilitation declined
Diabetes monitoring declined
BMI (body mass index) measurement declined
Patient refused haematology test
Depression screening refused
Hepatitis B treatment refused
Type 2 diabetes mellitus risk assessment declined
Treatment delay - patient choice
Radiotherapy declined by patient
Mammogram declined
Physical assessment examination declined
Advance care planning declined
Postnatal care declined
Eye examination declined
Registration for online access to local general practice service declined
Asthma action plan declined
Breastfeeding support declined
Dental examination declined
Medication therapy management recommendation refused by patient
Refusal of treatment by patient against dental advice
Magnetic resonance imaging scan declined
Asthma medication declined
Declined consent for treatment
Education refused
Patient declined information
Screening plain X-ray of chest declined
Education about alcohol consumption declined
Administration of anti-D (rh) immunoglobulin refused
Nitrate declined
Monitoring of elderly person refused
Patient refuses to enroll in care management program
Referral to specialist declined
Monitoring of smoking cessation therapy declined
Double test not wanted
Provision of information about racial group refused by patient
History taking refused by patient
Domestic abuse screening declined
Antenatal screening declined
Child 6 week examination not wanted
Procedure declined
Referral to colorectal surgeon declined by subject
Recommendation declined
Provision of chaperone refused
Reasons for treatment delay
Patient declined transportation
Patient declined referral to respiratory physician
Platelet aggregation inhibitor therapy declined
Antenatal ultrasound scan not wanted
Imaging study declined
Refusal by patient to provide information about income details
Counseling not wanted
Referral to minor ailments clinic refused by patient
Nurse triage declined
Patient refused referral to oncologist
Referral to nephrologist declined by patient
Colonoscopy refused
Vitamin K prophylaxis declined
Screening for Human papilloma virus declined
Urine dipstick test declined
Doppler ultrasonography of carotid artery declined
Referral to respiratory physician declined by subject
Shared care prescribing of drugs for dementia declined
Referral to cardiac rehabilitation program declined
Lung cancer screening declined
Chemical dependency consultation declined
Hemoglobin A1C test declined
Beta blocker therapy declined
Disease modifying antirheumatic drug declined
Child examination at 6 weeks with explicit context
Postnatal care refused
Patient declined referral to oncologist
Well woman health check declined
Referral to oncologist declined by subject
Carvedilol therapy declined
Refused referral to minor ailments clinic
Selective estrogen receptor modulator declined
Phenylketonuria screening declined
Consent declined for examination of genitourinary system
Screening for PTSD (post-traumatic stress disorder) declined
Procedure declined - uncooperative
Antenatal screening for human immunodeficiency virus refused
Alcohol use education declined
Tobacco use screening declined
Osteoporosis monitoring declined
Referral declined by patient
Medium-chain acyl-coenzyme A dehydrogenase deficiency screening test declined
Aspirin prophylaxis refused
Prescription of anticipatory care medication declined
Referral to podiatrist refused
Anti oestrogen therapy declined
Referral to podiatrist refused by patient
Child examination at 2.5 years with explicit context
Antibiotic prophylaxis declined
Tuberculosis screening declined
Dual X-ray absorptiometry (DXA) scan declined
Information declined
Subject refused ophthalmologist referral
Referral to neurologist declined by patient
Lead screening declined
Persistent non-attender
Patient refuses to verify personal information
Screening declined
Shared care prescribing declined
Body height measurement refused
Anal examination declined
Angiocardiography declined
Patient refuses day hospital
Patient declines smoking cessation information
Subject declined referral to gynecologist
Raloxifene therapy declined
Dual X-ray absorptiometry scan declined
Hepatic function panel declined
Patient refused gastroenterologist referral
Child examination at 7 months with explicit context
Cholesterol reduction programme refused
Heart failure education declined
Phenylketonuria (PKU) screening declined
Haemoglobin A1C test declined
Adult health examination refused
Medication therapy management recommendation declined by patient
Foot pulse check declined
Computed tomography scan brain declined
Child examination at 8 weeks with explicit context
Patient refused transportation
Child 3 year exam not wanted
Body mass index follow-up planning declined
Inadequate consent
Hypertension treatment refused
Patient refuses hospital admission
Depression follow-up declined
Provision of information about marital status refused by patient
Beta blocker therapy refused
Referral to dietician declined
Referral to ophthalmologist declined by patient
Antenatal risk assessment not wanted
Mammogram refused
Administration of human anti-D immunoglobulin declined
Imaging study refused
8-9 month exam not wanted
Naloxone therapy refused
Patient declined referral to colorectal surgeon
Social services help refused
Patient refuses smoking cessation information
Screening for posttraumatic stress disorder refused
Coronary arteriography declined
Cervical cancer screening refused
Lipid lowering therapy declined
Patient declined haematology test
Increase of drug dose refused
New patient screening refused
Patient declined to provide information about religion
Cholesterol reduction program refused
Screening for malignant neoplasm of cervix not wanted
Denture cleaning refused
Monitoring for stress refused
Patient refused referral to respiratory physician
Referral to respiratory clinic declined
Vaginal birth after previous cesarean section declined
Child examination declined
Refuses coronary heart disease monitoring
Referral to pharmacy service declined
Referral to ophthalmologist declined by subject
Refuses CHD monitoring
Strontium ranelate declined
Cardiovascular disease risk assessment declined
New patient screening declined
Referral to psychiatrist declined by subject
Screening not wanted
Over 75 years of age health check declined
Fall risk assessment declined
Administration of human rho(D) immunoglobulin declined
Blood transfusion declined
Referral to mental health service declined
Referral to cardiologist refused by subject
Administration of anti-D (rh) immunoglobulin declined
Subject refused referral to gynecologist
HIV screening declined
Antiestrogen therapy declined
Education about physical exercise declined
Parent craft not wanted
Drug declined by patient - reason unknown
Well man health check refused
Patient refused to provide information about marital status
Blood pressure procedure refused
Naloxone therapy declined
Screening plain chest X-ray declined
Child 7 month examination not wanted
Referral to chiropodist declined by patient
Referral to specialist refused
Child 21 month examination not wanted
Procedure refused - uncooperative
Refuses diabetes monitoring
Patient declined gastroenterologist referral
Selective oestrogen receptor modulator declined
Tobacco cessation information declined
Nebivolol therapy declined
Bisphosphonates declined
Provision of information about marital status declined by patient
Referral to erectile dysfunction clinic declined
Recommendation refused
4.5 year examination not wanted
Dual X-ray absorptiometry scan refused
Multidisciplinary team falls assessment declined
Referral to cardiologist declined by subject
Referral to nephrologist declined by subject
Child 1 year examination not wanted
Hypertension monitoring refused
Counseling declined
Medium-chain acyl-coenzyme A dehydrogenase deficiency (MCADD) screening test declined
Bone density scan refused
Inhaled bronchodilator declined
Coronavirus COVID-19 (coronavirus disease 2019) testing declined
Aspirin prophylaxis declined
Angiotensin converting enzyme inhibitor declined
Discussion about advance care planning declined
CT scan brain declined
Referral to podiatrist declined by patient
BMI (body mass index) measurement refused
Child surveillance not wanted
Child examination at 21 months with explicit context
Patient refused referral to gynecologist
Vaginal birth after previous caesarean section refused
Primary health care team falls assessment declined
Hyperlipidaemia screening test declined
Chlamydia screening declined
Patient refuses hospital admit
Child examination at 18 months with explicit context
Glaucoma screening refused
Patient declined to provide information about racial group
Plain X-ray refused
Monitoring of elderly person declined
Education declined
Ambulance transport to hospital declined
Child examination at 3.5 years with explicit context
Human immunodeficiency virus screening declined
Routine enquiry about domestic abuse declined
Exercise tolerance test declined
History taking of sexual orientation declined
Antenatal screening for Edwards and Patau syndromes declined
Assessment of physical health declined
Body height measurement declined
Imaging procedure declined
Cholesterol reduction programme declined
Risk assessment declined
Counselling not wanted
Oestrogen receptor antagonist therapy refused
Screening for post-traumatic stress disorder declined
Antenatal screening for Down, Edwards and Patau syndromes declined
Administration of human anti-D immunoglobulin refused
Abdominal aortic aneurysm screening declined
Oestrogen receptor antagonist therapy declined
Phosphodiesterase 5 inhibitor declined
Subject declined referral to service
Patient refuses community resource assistance
Sampling of chorionic villus declined
Bone density scan declined
Patient declined to provide information about marital status
Hepatocellular carcinoma surveillance refused
Measurement of waist circumference declined
Social services help declined
Home oxygen therapy declined
Cholesterol reduction program declined
Nicotine replacement therapy declined
Geriatric monitoring declined
Assessment using Generalized Anxiety Disorder 7 item scale declined
Follow up refused
Cancer of cervix screening not wanted
Referral to neurologist refused by patient
Refusal to take medication
Sampling of chorionic villus refused
Screening for PTSD (posttraumatic stress disorder) declined
Anticoagulation declined
Diabetic retinopathy screening declined
Referral to minor ailments clinic declined by patient
Prostate cancer screening declined
Antihypertensive therapy declined
Left care setting having refused treatment
Assessment of quality of life declined
Mental health assessment declined
Patient declined hematology test
Referral to patient navigation service declined
Well woman health check refused
Medication refused
Diabetes screening declined
Nutrition counselling declined
Antenatal thalassaemia screening refused
Well man health check declined
Medication dosage increase declined
Antineoplastic chemotherapy regimen refused
Physical health assessment declined
Subject refused to request medication tier exception
Hormone replacement therapy refused
Risk assessment refused
Obesity monitoring declined
Serum metabolic panel declined
Geriatric monitoring refused
Colonoscopy declined
Vascular disease risk assessment declined
Referral to podiatrist declined
Insulin refused
Spirometry test declined
Antenatal thalassemia screening declined
Alcohol consumption screening test declined
Antenatal screening for human immunodeficiency virus declined
Depression screening declined
Screening for PTSD (posttraumatic stress disorder) refused
Follow-up encounter refused
Referral to chiropodist refused by patient
Referral to complex care service declined
Blood glucose test declined
Insulin declined
Calcium channel blocker declined
Dental fluoride treatment declined
Subject declined to request medication tier exception
Referral to psychology service declined
Antenatal syphilis screening declined by patient
Thrombolytic therapy refused
Fall risk assessment refused
Refusal by patient to provide information about marital status
Hepatitis B treatment declined
Alcohol brief intervention declined
Hyperlipidemia screening test declined
Referral to heart failure exercise program declined
Enrollment in care management program refused
Fall risk care plan declined
Exercise tolerance test refused
Referral to cardiac rehabilitation programme declined
Alpha-fetoprotein gene blood test not wanted
Physical assessment examination refused
Statin declined
Coronary heart disease monitoring refused
Information refused
Screening for malignant neoplasm of cervix declined
Declines height measurement
AFP blood test not wanted
Cystic fibrosis screening declined
Referral to patient navigation service refused
Diabetic retinopathy screening refused
Procedure discontinued by patient
Referral to pulmonologist declined by patient
Invitation to participate in research study declined
Education about physical exercise refused
History taking of sexual orientation refused
Procedure refused
Carotid artery Doppler declined
Enrollment in prescription medication assistance program refused
Brushing of teeth refused
Cervical cancer Papanicolaou smear screening declined
GAD-7 (Generalized Anxiety Disorder 7) scale declined
Alcohol brief intervention refused
Maternal postnatal examination declined

Frequently Asked Questions

What is the ICD-10 code for proc/trtmt not crd out bec pt decision for unsp reasons?

The ICD-10-CM code for proc/trtmt not crd out bec pt decision for unsp reasons is Z53.20. The full clinical description is "Procedure and treatment not carried out because of patient's decision for unspecified reasons". Z53.20 is a billable/specific code that can be used on insurance claims and medical billing.

What does ICD-10 code Z53.20 mean?

ICD-10-CM code Z53.20 represents “Procedure and treatment not carried out because of patient's decision for unspecified reasons”. 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 Z53.20 a billable code?

Yes, Z53.20 is a billable/specific ICD-10-CM code and can be used to indicate a diagnosis on a medical claim.

What chapter is Z53.20 in?

Z53.20 is in Chapter 22: Factors Influencing Health Status and Contact With Health Services (codes Z00-Z99).

What SNOMED CT codes does Z53.20 map to?

Z53.20 maps to 329 SNOMED CT concepts: 170170009, 170179005, 170134006, 170143002, 170152006, and 324 more. SNOMED CT is a clinical terminology used in electronic health records.

What are the UMLS CUIs for Z53.20?

Z53.20 is linked to 1 UMLS Concept Unique Identifier: C2910974. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

How does Z53.20 relate to ICF functioning codes?

ICF (International Classification of Functioning, Disability and Health) codes describe how conditions like proc/trtmt not crd out bec pt decision for unsp reasons 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 Z53.20?

There is no direct ICD-11 mapping available for Z53.20 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.

Automate ICD-10 Coding With AI

Send clinical text to the AutoICD API and get back structured ICD-10 codes with confidence scores. Integrates into any EHR or billing system in minutes.

Try Free View API Docs

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.