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
  • Z28.1

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

  • Z28.2

    Immunization not carried out because of patient decision for other and unspecified reason

  • 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

  • Z28.3

    Underimmunization status

  • Z28.31

    Underimmunization for COVID-19 status

  • Z28.310

    Unvaccinated for COVID-19

  • Z28.311

    Partially vaccinated for COVID-19

  • Z28.39

    Other underimmunization status

  • Z28.8

    Immunization not carried out for other reason

  • 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

    Encounter for other prophylactic measures

  • Z29.1

    Encounter for prophylactic immunotherapy

  • 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

  • Z29.8

    Encounter for other specified prophylactic measures

  • Z29.81

    Encounter for HIV pre-exposure prophylaxis

  • Z29.89

    Encounter for other specified prophylactic measures

  • Z29.9

    Encounter for prophylactic measures, unspecified

  • Z30

    Encounter for contraceptive management

  • Z30.0

    Encounter for general counseling and advice on contraception

  • Z30.01

    Encounter for initial prescription of contraceptives

  • 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

  • Z30.4

    Encounter for surveillance of contraceptives

  • Z30.40

    Encounter for surveillance of contraceptives, unspecified

  • Z30.41

    Encounter for surveillance of contraceptive pills

  • Z30.42

    Encounter for surveillance of injectable contraceptive

  • Z30.43

    Encounter for surveillance of intrauterine contraceptive device

  • Z30.430

    Encounter for insertion of intrauterine contraceptive device

  • Z30.431

    Encounter for routine checking of intrauterine contraceptive device

  • Z30.432

    Encounter for removal of intrauterine contraceptive device

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