Immunization not carried out because of chronic illness or condition of patient
ICD-10 Z28.02 is a billable code used to indicate a diagnosis of immunization not carried out because of chronic illness or condition of patient.
Z28.02 is used when a patient is unable to receive immunizations due to a chronic illness or medical condition that contraindicates vaccination. This code highlights the importance of understanding the patient's overall health status, including chronic diseases such as diabetes, autoimmune disorders, or severe allergies that may affect their ability to tolerate vaccines. Social determinants of health, such as access to healthcare, socioeconomic status, and education, also play a crucial role in vaccination rates. Preventive care is essential in managing chronic conditions, and healthcare providers must assess the risks and benefits of immunization for these patients. Screening for chronic illnesses and ongoing aftercare are vital components of patient management, ensuring that patients receive appropriate care while considering their unique health challenges.
Document the patient's chronic condition, rationale for immunization deferral, and any discussions regarding vaccination options.
Routine checkups where immunizations are discussed, management of chronic illnesses, and aftercare follow-ups.
Consider the impact of social determinants such as access to care, education about vaccines, and patient preferences.
Collect data on immunization rates among patients with chronic conditions for epidemiological studies.
Community health assessments, vaccination campaigns targeting at-risk populations, and public health surveillance.
Focus on population health strategies to improve vaccination rates among those with chronic illnesses.
Used when documenting immunization administration, but may be linked to Z28.02 if the immunization is not carried out.
Document the reason for not administering the vaccine, including chronic conditions.
Primary care providers must ensure thorough documentation of the patient's health status.
Documentation must include a clear statement of the chronic condition, the reason for not administering the vaccine, and any discussions with the patient regarding vaccination options.
