Z28.82 Immunization not carried out because of caregiver refusal
Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.
Applicable to
Immunization not carried out because of guardian refusal
Immunization not carried out because of parent refusal
Excludes1 (never code together)
immunization not carried out because of caregiver refusal because of religious belief (Z28.1)
Applies from Z28 Immunization not carried out and underimmunization status
Includes
vaccination not carried out
Code also
, if applicable, encounter for immunization safety counseling (Z71.85)
MS-DRG index
Defines the logic of DRG(s) 795 in MDC 15.
Approximate ICD-9-CM (GEMs)
V64.05 Vaccination not carried out because of caregiver refusal
Medicare Code Edits (MCE v43.1 (April 2026))
Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.
Code annotations containing back-references to Z28.82
Back-references to Z28.8
Use Additional: Z28.3 Underimmunization status ("immunization not carried out for other reason (Z28.8-)")
Back-references to Z28
Code Also: Z71.85 Encounter for immunization safety counseling (", if applicable, immunization not carried out (Z28.-)")
Diagnosis Index entries for Z28.82
Immunization › not done (not carried out) › because (of) › caregiver refusal
Immunization › not done (not carried out) › because (of) › guardian refusal
Immunization › not done (not carried out) › because (of) › parent refusal