Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure

The ICD-10-CM code for Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure is Z53.1 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

21: Factors influencing health status and contact with health services (Z00-Z99)

Section

Z40-Z53: Encounters for other specific health care (Z40-Z53)

Category Z53

16 codes (12 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Z53.1:

• Refusal of › treatment (because of) › reasons of belief or group pressure
• Canceled procedure (surgical) › because of › patient's decision › for reasons of belief or group pressure
• Procedure (surgical) › not done › because of › patient's decision › for reasons of belief or group pressure

U.S. Hospital Utilization

• An estimated 9,730 U.S. inpatient stays in 2023 included Z53.1 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Used with any code in range A00.0-T88.9, Z00-Z99

1) Used with any code in the range of A00.0-T88.9, Z00-Z99 An external cause code may be used with any code in the range of A00.0-T88.9, Z00-Z99, classification that represents a health condition due to an external cause. Though they are most applicable to injuries, they are also valid for use with such things as infections or diseases due to an external source, and other health conditions, such as a heart attack that occurs during strenuous physical activity.

Additional codes with observation code (fragment)

observation code, but only if they are unrelated to the suspected condition being observed.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)

Cite This Page

Reference Z53.1 with the canonical source and edition:

Z53.1 — Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/Z53.1

Canonical URL: https://icd10codingpro.com/codes/Z53.1