Z28.3
Header — not billableUnderimmunization status
The ICD-10 code for underimmunization status is Z28.3.
Z28.3 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 2 more specific codes below.
Clinical notes
Use additional code
This code represents an underlying condition. When a related manifestation is also present, coding convention calls for an additional code to be listed after this one.
- code, if applicable, to identify:
- immunization not carried out because of contraindication (Z28.0-)
- immunization not carried out because of patient decision for other and unspecified reason (Z28.2-)
- immunization not carried out because of patient decision for reasons of belief or group pressure (Z28.1)
- immunization not carried out for other reason (Z28.8-)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •If the associated manifestation or related condition noted above is also documented, an additional code should be reported alongside this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- Z28.0Immunization not carried out because of contraindicationnon-billable header
- Z28.1Immunization not carried out because of patient decision for reasons of belief or group pressure
- Z28.2Immunization not carried out because of patient decision for other and unspecified reasonnon-billable header
- Z28.8Immunization not carried out for other reasonnon-billable header
- Z28.9Immunization not carried out for unspecified reason
- Z28.3Underimmunization statusnon-billable header
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- V1583