Factors Influencing Health Status and Contact with Health Services

ICD-10 Code: Z28.1

Immunization Not Carried Out Because of Patient Decision for Reasons of Belief or Group Pressure

Vaccine refused for religious, philosophical, or social reasons.

Clinical Information

Vaccine refused for religious, philosophical, or social reasons. Common in US healthcare settings with specific coding requirements per ICD-10-CM guidelines.

Coding Guidelines

  • 1Use Z28.1 when clinical documentation supports this diagnosis
  • 2Verify specificity requirements per ICD-10-CM Official Guidelines
  • 3Code to highest level of specificity documented
  • 4Consider associated conditions and combination coding rules

Common Uses

  • Primary diagnosis in ambulatory settings
  • Secondary diagnosis in inpatient settings
  • ED/urgent care encounters
  • Follow-up and monitoring visits

Related ICD-10 Codes

Z28.XRelated code in same category
See ICD-10-CM manualFor complete related code list

Documentation Requirements

  • Physician documentation must clearly state diagnosis
  • Include severity, laterality, and specificity when applicable
  • Document underlying cause if known
  • Note acute vs. chronic where relevant

Real-World Coding Examples

Patient presents with immunization not carried out because of patient decision for reasons of belief or group pressure. Clinical findings support Z28.1 diagnosis.

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Medical coding for Factors Influencing Health Status and Contact with Health Services