MCMedicalCodingSoftware
Z28

Z28: Immunization not carried out and underimmunization status

Non-billable headerICD-10-CM

Z28 is a non-billable header ICD-10-CM code for immunization not carried out and underimmunization status. It cannot be billed on its own: choose one of the more specific child codes below.

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

  • , if applicable, encounter for immunization safety counseling (Z71.85)

Includes

Conditions this code covers.

  • vaccination not carried out

Other codes that can never be billed with Z28

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • Z28.82Immunization not carried out because of caregiver refusal

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead Z28

6 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.