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ICD-10-CM 2027

ICD-10 code for treatment refusal of

Z53.20

Procedure and treatment not carried out because of patient's decision for unspecified reasons

✓ Billable / specificNot a principal dx

From the official ICD-10-CM alphabetic index entry “Refusal of › treatment (because of)”. Page updated September 29, 2026.

About coding treatment refusal of

The ICD-10-CM code for treatment refusal of is Z53.20 (Procedure and treatment not carried out because of patient's decision for unspecified reasons). The official index lists 4 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on Z53.20.

Within Z53.2, choose Z53.20 (because of patient's decision for unspecified reasons) only when documentation doesn't support a more specific option: due to patient leaving prior to being seen by health care provider (Z53.21) and because of patient's decision for other reasons (Z53.29).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 795 (Normal Newborn, relative weight 0.2022) and DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period) and MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

More specific treatment refusal of codes (official index)

  • left against medical advice (AMA) Z53.29 — Procedure and treatment not carried out because of patient's decision for other reasons
  • left without being seen Z53.21 — Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
  • patient's decision NEC Z53.29 — Procedure and treatment not carried out because of patient's decision for other reasons
  • reasons of belief or group pressure Z53.1 — Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure

Common questions about treatment refusal of ICD-10 codes

What is the ICD-10 code for treatment refusal of?

Z53.20 — Procedure and treatment not carried out because of patient's decision for unspecified reasons. More specific codes apply when the documentation supports them: Z53.29, Z53.21, Z53.29, Z53.1.

What is the ICD-10 code for left against medical advice treatment refusal of?

Z53.29 — Procedure and treatment not carried out because of patient's decision for other reasons.

What is the ICD-10 code for left without being seen treatment refusal of?

Z53.21 — Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider.

What is the ICD-10 code for patient's decision nec treatment refusal of?

Z53.29 — Procedure and treatment not carried out because of patient's decision for other reasons.

Is Z53.20 billable?

Yes. Z53.20 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z53.20 be used as a principal diagnosis?

No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

Is Z53.20 a CC or MCC?

No. Z53.20 is neither a CC nor an MCC under MS-DRG v44.0.