Z28.310 ICD-10-CM Code: Unvaccinated for COVID-19
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for Z28.310 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- vaccination not carried out
Code Also
Additional codes that may be required to fully describe the encounter.
- Code also, if applicable, encounter for immunization safety counseling (Z71.85)
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional 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-)
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Z28.310 in its code family, with their registry titles.
- Z28.20 — Immunization not carried out because of patient decision for unspecified reason
- Z28.21 — Immunization not carried out because of patient refusal
- Z28.29 — Immunization not carried out because of patient decision for other reason
- Z28.3 — Underimmunization status
- Z28.31 — Underimmunization for COVID-19 status
- Z28.311 — Partially vaccinated for COVID-19
- Z28.39 — Other underimmunization status
- Z28.8 — Immunization not carried out for other reason
- Z28.81 — Immunization not carried out due to patient having had the disease
- Z28.82 — Immunization not carried out because of caregiver refusal
Indexed Clinical Terms (5)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- COVID-19, unvaccinated (for)
- Status (post), underimmunization, COVID-19, unvaccinated (for)
- Underimmunization status, COVID-19, unvaccinated (for)
- Unimmunized, for COVID-19
- Unvaccinated, for COVID-19