Z53.8
Z53.8: Procedure and treatment not carried out for other reasons
Billable / specific codeICD-10-CM
Z53.8 is a billable, specific ICD-10-CM code for procedure and treatment not carried out for other reasons. It is valid for submission on a claim.
Check Z53.8 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z53.8 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›specified reason NEC
- Procedure›not done›because of›administrative reasons
- Procedure›not done›because of›specified reason NEC
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Z53
- Z53.0Procedure and treatment not carried out because of contraindication
- Z53.1Procedure 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
- Z53.9Procedure and treatment not carried out, unspecified reason