Z28 Immunization not carried out and underimmunization status

Category / Non-billable header 22 subcodes

Block: Persons with potential health hazards related to communicable diseases (Z20-Z29)

Includes

  • vaccination not carried out

Code Also

  • , if applicable, encounter for immunization safety counseling (Z71.85)

Subcodes

Subcodes are listed below for reference. Detail pages are not available for chapters 11–22.

Code Description Billable
Z28..0 Immunization not carried out because of contraindication No
Z28..01 Immunization not carried out because of acute illness of patient Yes
Z28..02 Immunization not carried out because of chronic illness or condition of patient Yes
Z28..03 Immunization not carried out because of immune compromised state of patient Yes
Z28..04 Immunization not carried out because of patient allergy to vaccine or component Yes
Z28..09 Immunization not carried out because of other contraindication Yes
Z28..1 Immunization not carried out because of patient decision for reasons of belief or group pressure Yes
Z28..2 Immunization not carried out because of patient decision for other and unspecified reason No
Z28..20 Immunization not carried out because of patient decision for unspecified reason Yes
Z28..21 Immunization not carried out because of patient refusal Yes
Z28..29 Immunization not carried out because of patient decision for other reason Yes
Z28..3 Underimmunization status No
Z28..31 Underimmunization for COVID-19 status No
Z28..310 Unvaccinated for COVID-19 Yes
Z28..311 Partially vaccinated for COVID-19 Yes
Z28..39 Other underimmunization status Yes
Z28..8 Immunization not carried out for other reason No
Z28..81 Immunization not carried out due to patient having had the disease Yes
Z28..82 Immunization not carried out because of caregiver refusal Yes
Z28..83 Immunization not carried out due to unavailability of vaccine Yes
Z28..89 Immunization not carried out for other reason Yes
Z28..9 Immunization not carried out for unspecified reason Yes

Last reviewed: September 2026