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ICD-10-CM 2027 diagnosis code

Z28.3Underimmunization status

Not billable — use a more specific code

Z28.3 is a header code, so it can't be reported by itself. Choose one of the 2 more specific codes beneath it.

Code last changed in FY2022 (effective October 1, 2021). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About Z28.3

Z28.3 is the ICD-10-CM diagnosis code for underimmunization status. It belongs to category Z28 (immunization not carried out and underimmunization status), block Z20-Z29 (persons with potential health hazards related to communicable diseases) and chapter 21 (factors influencing health status and contact with health services). It is a header code, so it can't be reported by itself; one of its 2 subcodes must be used instead.

Within Z28 (immunization not carried out and underimmunization status), Z28.3 is specifically for underimmunization status. Related codes cover immunization not carried out because of contraindication (Z28.0), immunization not carried out because of patient decision for reasons of belief or group pressure (Z28.1), immunization not carried out because of patient decision for other and unspecified reason (Z28.2), immunization not carried out for other reason (Z28.8) and immunization not carried out for unspecified reason (Z28.9).

To report this condition, pick the subcode that matches the documentation: Z28.31 (status) and Z28.39 (status).

Use an additional 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) and immunization not carried out for other reason (Z28.8-).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015, and changed in FY2022 (expanded into subcodes).

Before ICD-10, this condition was coded in ICD-9-CM as V15.83 (personal history of underimmunization status).

Specific codes under Z28.3

Coding notes

Use additional codeAdd a secondary code to fully describe the condition
  • 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-)

Notes that apply from higher levels

Instructions written at a parent level also apply to Z28.3.

› From Z28 Immunization not carried out and underimmunization status
Includes
  • vaccination not carried out
Code also
  • , if applicable, encounter for immunization safety counseling (Z71.85)

Broader instructions also apply from Chapter 21: Factors influencing health status and contact with health services.

ICD-9-CM equivalent

Converter →
  • V15.83Personal history of underimmunization statusexact

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • FY2022 (effective 10/1/2021): Expanded — no longer billable

Common questions about Z28.3

Is Z28.3 billable?

No. Z28.3 is a header code. Report one of its more specific subcodes instead.

What is the ICD-9 code for Z28.3?

The CMS General Equivalence Mappings map Z28.3 to ICD-9-CM V15.83.