Z53
Non-Billable
ChapterZ00–Z99
Rankcategory
Official Description
Persons encountering health services for specific procedures and treatment, not carried out
Use a more specific code (3 billable, 3 non-billable)
Z53.0Procedure and treatment not carried out because of contraindicationhas subcodesZ53.1Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressureZ53.2Procedure and treatment not carried out because of patient's decision for other and unspecified reasonshas subcodesZ53.3Procedure converted to open procedurehas subcodesZ53.8Procedure and treatment not carried out for other reasonsZ53.9Procedure and treatment not carried out, unspecified reason
Metadata & Insights
- •Non-billable category (requires more specific sub-code).
- •Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99).
Z40-Z53 Parent Instructions
Includes
- Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state
Excludes2(Not included here. Code separately if applicable.)
Clinical Hierarchy
BillableHas subcodes
CH21Factors influencing health status and contact with health services (Z00-Z99)
Z40-Z53Encounters for other specific health care (Z40-Z53)
Z53Persons encountering health services for specific procedures and treatment, not carried outNot billable
Z53.1Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressureBillable
Z53.2Procedure and treatment not carried out because of patient's decision for other and unspecified reasonsSubcodes
Applicable Ancestor Context
The following parent sections contain instructions or notes that apply to Z53:
MS-DRG Classification
No direct MS-DRG triggers identified.
Cross Reference
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