Z28.2
Immunization not carried out because of patient decision for other and unspecified reason
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This code does not map to a risk-adjusting HCC in the loaded models.
Coding notes
Excludes 1 never coded together · Excludes 2 may co-exist
vaccination not carried out
, if applicable, encounter for immunization safety counseling (Z71.85)
Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury. (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
Official Guidelines for Z28.2
FY 2026 ›Sections that reference Z28.2
- I.C.1.g.1)(n)Underimmunization for COVID-19 StatusChapter 1
Code Z28.310, Unvaccinated for COVID-19, may be assigned when the patient has not received a COVID-19 vaccine of any type. …
- I.C.21.c.3)Status
… a person harbors the specific organisms of a disease without manifest symptoms and is capable of transmitting the infection. Z28.3 Underimmunization status See Section I.B.14. …
- I.C.21.c.13)Miscellaneous Z Codes
… Miscellaneous Z codes/subcategories/categories: Z28 Immunization not carried out Except: Z28.3-, Underimmunization status Z29 Encounter for other prophylactic measures Z40 …
- I.B.3Code or codes from A00.0 through T88.9, Z00-Z99.8, U00-U85Conventions & general rules
The appropriate code or codes from A00.0 through T88.9, Z00-Z99.8, and U00-U85 must be used to identify diagnoses, symptoms, conditions, problems, complaints or other reason(s) for the …
- I.C.20.a.1)Used with any code in the range of A00.0-T88.9, Z00-Z99Chapter 20
An external cause code may be used with any code in the range of A00.0-T88.9, Z00-Z99, classification that represents a health condition due to an external cause. …
- IV.BCodes from A00.0 through T88.9, Z00-Z99, U00-U85Outpatient services
The appropriate code(s) from A00.0 through T88.9, Z00-Z99 and U00-U85 must be used to identify diagnoses, symptoms, conditions, problems, complaints, or other reason(s) for the …
Showing 6 of 7. Search the guidelines for Z28. Sections whose FY 2026 text names Z28.2, its Z28 category, or a range containing it — the chapter guidance above is the authoritative source.