Z53.2
Z53.2 — Procedure and treatment not carried out because of patient's decision for other and unspecified reasons
Non-billable headerICD-10-CM
Z53.2 is a non-billable header ICD-10-CM code for procedure and treatment not carried out because of patient's decision for other and unspecified reasons. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
Z53.2 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 Z53.2
3 child codes. Green means billable.
- Z53.20Procedure and treatment not carried out because of patient's decision for unspecified reasons
- Z53.21Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
- Z53.29Procedure and treatment not carried out because of patient's decision for other reasons
Related codes at this level
Codes that share Z53. If Z53.2 is not quite right, the correct code is usually one of these.
- 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
- Z53.3Procedure 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 Z53.2
- Is Z53.2 a billable ICD-10-CM code?
- No. Z53.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does Z53.2 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).