Z53.1
Z53.1: Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
Billable / specific codeICD-10-CM
Z53.1 is a billable, specific ICD-10-CM code for procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure. It is valid for submission on a claim.
Check Z53.1 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z53.1 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A60380Billing and Coding: Erythropoiesis Stimulating Agents
- A60381Billing and Coding: Erythropoiesis Stimulating Agents
Alphabetic index entries that lead here
- Refusal of›treatment›reasons of belief or group pressure
- Canceled procedure›because of›patient's decision›for reasons of belief or group pressure
- Procedure›not done›because of›patient's decision›for reasons of belief or group pressure
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Z53
- Z53.0Procedure and treatment not carried out because of contraindication
- 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