MCMedicalCodingSoftware
Free trial
Z53.09

Z53.09: Procedure and treatment not carried out because of other contraindication

Billable / specific codeICD-10-CM

Z53.09 is a billable, specific ICD-10-CM code for procedure and treatment not carried out because of other contraindication. It is valid for submission on a claim.

Check Z53.09 with the rest of the claim: free scrubber

Risk adjustment

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

Medicare coverage

Z53.09 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A58294Billing and Coding: Colon Capsule Endoscopy (CCE)
  • A58321Billing and Coding: Colon Capsule Endoscopy (CCE)
  • A58362Billing and Coding: Colon Capsule Endoscopy
  • A58410Billing and Coding: Colon Capsule Endoscopy (CCE)

Alphabetic index entries that lead here

  • Canceled procedure›because of›contraindication
  • Procedure›not done›because of›contraindication

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z53.0

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.