Z53
Z53 — Persons encountering health services for specific procedures and treatment, not carried out
Non-billable headerICD-10-CM
Z53 is a non-billable header ICD-10-CM code for persons encountering health services for specific procedures and treatment, not carried out. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
Z53 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead Z53
6 child codes. Green means billable.
- Z53.0Procedure and treatment not carried out because of contraindication
- Z53.1Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
- Z53.2Procedure and treatment not carried out because of patient's decision for other and unspecified reasons
- Z53.3Procedure converted to open procedure
- Z53.8Procedure and treatment not carried out for other reasons
- Z53.9Procedure and treatment not carried out, unspecified reason
Questions about Z53
- Is Z53 a billable ICD-10-CM code?
- No. Z53 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z53 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Encounters for other specific health care (Z40-Z53).