Immunization not carried out because of caregiver refusal
ICD-10 Z28.82 is a billable code used to indicate a diagnosis of immunization not carried out because of caregiver refusal.
Z28.82 is used when an immunization is not administered due to the refusal of the caregiver. This situation often arises in pediatric care, where parents or guardians may decline vaccinations for their children based on personal beliefs, misinformation, or concerns about vaccine safety. The refusal can significantly impact public health, as it contributes to lower immunization rates and increases the risk of vaccine-preventable diseases. Understanding the social determinants of health, such as education level, socioeconomic status, and access to healthcare information, is crucial in addressing these refusals. Preventive care strategies should include effective communication about the benefits and risks of immunizations, as well as addressing any misconceptions. Screening for vaccine hesitancy during routine visits can help healthcare providers identify families at risk of refusing immunizations and provide tailored education and support.
Document the reason for refusal, any discussions held with the caregiver, and educational materials provided.
Routine checkups where immunizations are recommended but declined.
Consider social determinants such as cultural beliefs and access to reliable health information.
Collect data on immunization rates and reasons for refusal for population health tracking.
Community vaccination drives where refusal rates are monitored.
Focus on strategies to improve community education and outreach.
Used when immunizations are administered, but Z28.82 is noted for refusals.
Document the immunization attempt and the refusal.
Primary care providers should ensure comprehensive documentation of discussions with caregivers.
Document the specific reasons for the caregiver's refusal, any educational materials provided, and follow-up plans to address concerns.
