Unvaccinated for COVID-19
Billable / specificPOA exempt
Z28.310 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.
Inclusion terms
Includes (from Z28)
- vaccination not carried out
- Note: 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:
- Note: (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.
- Note: (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.
Includes (from Z28.31)
- Note: These codes should not be used for individuals who are not eligible for the COVID-19 vaccines, as determined by the healthcare provider.
Use additional code
Add a code to identify the following, if applicable.
- code, if applicable, to identify: (from Z28.3)
- immunization not carried out because of contraindication (Z28.0-) (from Z28.3)
- immunization not carried out because of patient decision for other and unspecified reason (Z28.2-) (from Z28.3)
- immunization not carried out because of patient decision for reasons of belief or group pressure (Z28.1) (from Z28.3)
- immunization not carried out for other reason (Z28.8-) (from Z28.3)
Code also
An additional code may be needed.
Also known as
- COVID-19, unvaccinated
- Status, underimmunization, COVID-19, unvaccinated
- Underimmunization status, COVID-19, unvaccinated
- Unimmunized, for COVID-19
- Unvaccinated, for COVID-19
Parent code
- Z28.31Underimmunization for COVID-19 statusHeader
Related codes
- Z28.311Partially vaccinated for COVID-19Billable