Z53.2Procedure and treatment not carried out because of patient's decision for other and unspecified reasons

Z53.2 is the ICD-10-CM diagnosis code for procedure and treatment not carried out because of patient's decision for other and unspecified reasons. It belongs to category Z53 (persons encountering health services for specific procedures and treatment, not carried out), block Z40-Z53 (Encounters for other specific health care) 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 3 subcodes must be used instead.

Within Z53, choose Z53.2 (and treatment not carried out because of patient's decision for other and unspecified reasons) only when documentation doesn't support a more specific option: and treatment not carried out because of contraindication (Z53.0), and treatment not carried out because of patient's decision for reasons of belief and group pressure (Z53.1), converted to open procedure (Z53.3), and treatment not carried out for other reasons (Z53.8) and and treatment not carried out, unspecified reason (Z53.9).

To report this condition, pick the subcode that matches the documentation: Z53.20 (reasons), Z53.21 (provider) and Z53.29 (reasons).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.