Immunization not carried out because of patient refusal

This diagnosis code indicates that a patient declined a recommended immunization. It signifies a patient's conscious decision to not receive a vaccine, despite it being offered and clinically indicated. This refusal is documented in the patient's medical record.

This code is appropriate when a healthcare provider offers a vaccine, such as an influenza shot or a childhood immunization, and the patient (or their legal guardian) explicitly refuses it. It should be used to document the reason for the immunization not being administered, specifically due to patient choice.

• Always ensure documentation clearly states "patient refused" or similar language.
• Do not use this code if the immunization was not carried out for reasons other than patient refusal (e.g., contraindication, vaccine unavailability).
• This code is typically a secondary diagnosis, accompanying a code for the encounter or the condition for which the immunization was recommended.