Immunization not carried out because of patient refusal
ICD-10 Z28.21 is a billable code used to indicate a diagnosis of immunization not carried out because of patient refusal.
Z28.21 is used when a patient refuses an immunization that is recommended for their health. This refusal can stem from various factors, including personal beliefs, misinformation about vaccines, cultural influences, or previous negative experiences with vaccinations. Understanding the social determinants of health is crucial, as factors such as socioeconomic status, education level, and access to healthcare can significantly influence a patient's decision to refuse immunization. Preventive care is essential in reducing the incidence of vaccine-preventable diseases, and healthcare providers must engage in effective communication to address concerns and encourage vaccination. Documentation should reflect the patient's refusal, the reasons provided, and any educational efforts made by the provider to inform the patient about the benefits and risks of immunization.
Document the patient's refusal, reasons for refusal, and any educational discussions held.
Routine checkups where immunizations are recommended but refused.
Consider the impact of social determinants such as education and access to information.
Collect data on vaccination rates and reasons for refusal at the population level.
Community health initiatives aimed at increasing vaccination uptake.
Focus on tracking health trends and addressing barriers to vaccination.
Used when immunizations are administered, but may be relevant in discussions of refusal.
Document the immunization offered and the patient's refusal.
Primary care providers should ensure thorough documentation of the refusal.
Document the patient's refusal clearly, including the reasons provided and any educational discussions held to inform the patient about the vaccine's benefits and risks.
