Z28
Non-Billable

Immunization not carried out and underimmunization status

Non-Billable / Non-Specific Code

What is Immunization not carried out and underimmunization status?

ICD-10-CM Z28 is the diagnosis code for Immunization not carried out and underimmunization status. This code falls under the section "Persons with potential health hazards related to communicable diseases" within Chapter 21 — Factors influencing health status and contact with health services (Z00-Z99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for Z28

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where Z28 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 6 entries
Z28.0Immunization not carried out because of contraindicationNon-BillableZ28.01Immunization not carried out because of acute illness of patientBillableZ28.02Immunization not carried out because of chronic illness or condition of patientBillableZ28.03Immunization not carried out because of immune compromised state of patientBillableZ28.04Immunization not carried out because of patient allergy to vaccine or componentBillableZ28.09Immunization not carried out because of other contraindicationBillableZ28.1Immunization not carried out because of patient decision for reasons of belief or group pressureBillableZ28.2Immunization not carried out because of patient decision for other and unspecified reasonNon-BillableZ28.20Immunization not carried out because of patient decision for unspecified reasonBillableZ28.21Immunization not carried out because of patient refusalBillableZ28.29Immunization not carried out because of patient decision for other reasonBillableZ28.3Underimmunization statusNon-BillableZ28.31Underimmunization for COVID-19 statusNon-BillableZ28.310Unvaccinated for COVID-19BillableZ28.311Partially vaccinated for COVID-19BillableZ28.39Other underimmunization statusBillableZ28.8Immunization not carried out for other reasonNon-BillableZ28.81Immunization not carried out due to patient having had the diseaseBillableZ28.82Immunization not carried out because of caregiver refusalBillableZ28.83Immunization not carried out due to unavailability of vaccineBillableZ28.89Immunization not carried out for other reasonBillableZ28.9Immunization not carried out for unspecified reasonBillable
Related Codes

Frequently Asked Questions

Is Z28 a billable ICD-10-CM code?

No, Z28 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does Z28 mean?

Z28 is the ICD-10-CM diagnosis code for "Immunization not carried out and underimmunization status". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is Z28 in?

Z28 is located in Section Z20-Z29 — "Persons with potential health hazards related to communicable diseases" within Chapter 21 of the ICD-10-CM Tabular List.

What are the sub-codes of Z28?

Z28 has 6 sub-code(s) that provide more specific detail: Z28.0, Z28.1, Z28.2, Z28.3, Z28.8 and more.

When should I use Z28?

Use Z28 when the patients documented diagnosis matches "Immunization not carried out and underimmunization status" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Immunization not carried out and underimmunization status?

The ICD-10-CM code for Immunization not carried out and underimmunization status is Z28.

Can Z28 be used for primary diagnosis?

No, Z28 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is Z28 in?

Z28 is in Chapter 21 of the ICD-10-CM Tabular List.

Is Z28 valid for 2026?

Yes, Z28 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousZ23Encounter for immunizationNext →Z28.0Immunization not carried out because of contraindication
Code Details
Z28
Immunization not carried out and underimmunization status
Non-Billable / Non-Specific Code
21 — Factors influencing health status and contact with health services (Z00-Z99)
Z20-Z29 — Persons with potential health hazards related to communicable diseases
2026 ICD-10-CM