Z28.3 — Underimmunization status
Not billable
Is Z28.3 billable?
No — Z28.3 is a non-billable header code. Z28.3 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath Z28.3.
Billable codes under this header
Z28.3 at a glance
| Code | Z28.3 |
|---|---|
| Description | Underimmunization status |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Use additional code
Report an additional code alongside Z28.3 to fully describe the condition. Z28.3 is sequenced first.
- code, if applicable, to identify:
- immunization not carried out because of contraindication (Z28.0-)
- immunization not carried out because of patient decision for other and unspecified reason (Z28.2-)
- immunization not carried out because of patient decision for reasons of belief or group pressure (Z28.1)
- immunization not carried out for other reason (Z28.8-)
Code also — inherited from Z28
Two codes may be needed to describe the condition fully. Whether Z28.3 is sequenced first depends on the reason for the encounter.
- , if applicable, encounter for immunization safety counseling (Z71.85)
What codes fall under Z28.3? (2)
How long has Z28.3 existed?
Z28.3 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2023: Z28.3 stopped being billable
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the Z28 family? (5)
- Z28.0Immunization not carried out because of contraindicationnot billable
- Z28.1Immunization not carried out because of patient decision for reasons of belief or group pressure
- Z28.2Immunization not carried out because of patient decision for other and unspecified reasonnot billable
- Z28.8Immunization not carried out for other reasonnot billable
- Z28.9Immunization not carried out for unspecified reason