Chapter 21

Z00–Z99: Factors Influencing Health Status and Contact with Health Services

Factors Influencing Health Status and Contact with Health Services diagnostic classification updated for 2026.

Internal Codes
  • Z22.358

    Carrier of other Enterobacterales

  • Z22.359

    Carrier of Enterobacterales, unspecified

  • Z22.39

    Carrier of other specified bacterial diseases

  • Z22.4

    Carrier of infections with a predominantly sexual mode of transmission

  • Z22.6

    Carrier of human T-lymphotropic virus type-1 [HTLV-1] infection

  • Z22.7

    Latent tuberculosis

  • Z22.8

    Carrier of other infectious diseases

  • Z22.9

    Carrier of infectious disease, unspecified

  • Z23

    Encounter for immunization

  • Z28.01

    Immunization not carried out because of acute illness of patient

  • Z28.02

    Immunization not carried out because of chronic illness or condition of patient

  • Z28.03

    Immunization not carried out because of immune compromised state of patient

  • Z28.04

    Immunization not carried out because of patient allergy to vaccine or component

  • Z28.09

    Immunization not carried out because of other contraindication

  • Z28.1

    Immunization not carried out because of patient decision for reasons of belief or group pressure

  • Z28.20

    Immunization not carried out because of patient decision for unspecified reason

  • Z28.21

    Immunization not carried out because of patient refusal

  • Z28.29

    Immunization not carried out because of patient decision for other reason

  • Z28.310

    Unvaccinated for COVID-19

  • Z28.311

    Partially vaccinated for COVID-19

  • Z28.39

    Other underimmunization status

  • Z28.81

    Immunization not carried out due to patient having had the disease

  • Z28.82

    Immunization not carried out because of caregiver refusal

  • Z28.83

    Immunization not carried out due to unavailability of vaccine

  • Z28.89

    Immunization not carried out for other reason

  • Z28.9

    Immunization not carried out for unspecified reason

  • Z29.11

    Encounter for prophylactic immunotherapy for respiratory syncytial virus (RSV)

  • Z29.12

    Encounter for prophylactic antivenin

  • Z29.13

    Encounter for prophylactic Rho(D) immune globulin

  • Z29.14

    Encounter for prophylactic rabies immune globin

  • Z29.3

    Encounter for prophylactic fluoride administration

  • Z29.81

    Encounter for HIV pre-exposure prophylaxis

  • Z29.89

    Encounter for other specified prophylactic measures

  • Z29.9

    Encounter for prophylactic measures, unspecified

  • Z30.011

    Encounter for initial prescription of contraceptive pills

  • Z30.012

    Encounter for prescription of emergency contraception

  • Z30.013

    Encounter for initial prescription of injectable contraceptive

  • Z30.014

    Encounter for initial prescription of intrauterine contraceptive device

  • Z30.015

    Encounter for initial prescription of vaginal ring hormonal contraceptive

  • Z30.016

    Encounter for initial prescription of transdermal patch hormonal contraceptive device

  • Z30.017

    Encounter for initial prescription of implantable subdermal contraceptive

  • Z30.018

    Encounter for initial prescription of other contraceptives

  • Z30.019

    Encounter for initial prescription of contraceptives, unspecified

  • Z30.02

    Counseling and instruction in natural family planning to avoid pregnancy

  • Z30.09

    Encounter for other general counseling and advice on contraception

  • Z30.2

    Encounter for sterilization

  • Z30.40

    Encounter for surveillance of contraceptives, unspecified

  • Z30.41

    Encounter for surveillance of contraceptive pills

  • Z30.42

    Encounter for surveillance of injectable contraceptive

  • Z30.430

    Encounter for insertion of intrauterine contraceptive device

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