Z28.82
Billable codeImmunization not carried out because of caregiver refusal
The ICD-10 code for immunization not carried out because of caregiver refusal is Z28.82.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- immunization not carried out because of caregiver refusal because of religious belief (Z28.1)
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Immunization not carried out because of guardian refusal
- Immunization not carried out because of parent refusal
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with 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
- Z28.81Immunization not carried out due to patient having had the disease
- Z28.83Immunization not carried out due to unavailability of vaccine
- Z28.89Immunization not carried out for other reason
- Z28.82Immunization not carried out because of caregiver refusal
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- V6405
Associated MS-DRGs
Z28.82 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.