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.

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

Procedure and treatment not carried out because of other contraindication is a billable ICD-10-CM diagnosis code (Z53.09).

Sequencing, inclusion, and exclusion notes published for Z53.09 in the official ICD-10-CM tabular list.

Conditions not covered by this code, but which may be reported alongside it when both are present.

Official ICD-10-CM classifications closest to Z53.09 in its code family, with their registry titles.

Z53 — Persons encountering health services for specific procedures and treatment, not carried out
Z53.0 — Procedure and treatment not carried out because of contraindication
Z53.01 — Procedure and treatment not carried out due to patient smoking
Z53.1 — Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure
Z53.2 — Procedure and treatment not carried out because of patient's decision for other and unspecified reasons
Z53.20 — Procedure and treatment not carried out because of patient's decision for unspecified reasons
Z53.21 — Procedure and treatment not carried out due to patient leaving prior to being seen by health care provider
Z53.29 — Procedure and treatment not carried out because of patient's decision for other reasons
Z53.3 — Procedure converted to open procedure
Z53.31 — Laparoscopic surgical procedure converted to open procedure

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.