ICD-10-CM › Z00-Z99 › Z40-Z53 › Z53 Persons encountering health... › Z53.2

Z53.2

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

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 3 more specific codes instead:

  • 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

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Procedure and treatment not carried out because of patient's decision for other and unspecified reasons

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from the Z40-Z53 section Encounters for other specific health care (Z40-Z53)

Excludes2 - not included here

  • follow-up examination for medical surveillance after treatment (Z08-Z09)

Also known as

  • Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state

Codes in the same group

CodeDescriptionStatus
Z53.0 Procedure and treatment not carried out because of contraindication Not billable
Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure Valid
Z53.3 Procedure converted to open procedure Not billable
Z53.8 Procedure and treatment not carried out for other reasons Valid
Z53.9 Procedure and treatment not carried out, unspecified reason Valid