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Common Z Codes for Vaccination Encounters Z20 - Contact with and (suspected) exposure to communicable diseases Z20.1 - Tuberculosis Z20.3 - Rabies Z20.4 - Rubella Z20.82 - Contact with and (suspected) exposure to other viral communicable diseases Z20.820 - Varicella Z20.828 - Contact with and (suspected) exposure to other viral communicable diseases Z20.81- * - Contact with and (suspected) exposure to other bacterial communicable diseases Z20.811 - Meningococcus Z20.9 - Contact with and (suspected) exposure to unspecified communicable diseases Z23 - Encounter for immunization Z51.89 - Encounter for other specified aftercare Z41.8 - Encounter for other procedures for purposes other than remedying health state Table 2: Immunization Not Carried Out and Underimmunization Status (Z28 Codes) Z28 - Immunization not carried out and underimmunization status Z28.0 - Immunization not carried out because of contraindication Z28.01 - Due to acute illness of patient Z28.02 - Due to chronic illness or condition of patient Z28.03 - Due to immunocompromised state of patient Z28.04 - Due to patient allergy to vaccine or component Z28.09 - Due to other contraindication Z28.1 - Immunization not carried out because of patient decision for reasons of belief or group pressure 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 Z28.81 - Immunization not carried out due to patient having had the disease Z28.82 - Immunization not carried out because of caregiver refusal (Excludes 1: caregiver refusal based on religious belief - Z28.1) Z28.83 - Immunization not carried out due to unavailability of vaccine Z28.89 - Immunization not carried out for other reason Current Procedural Terminology (CPT) and Medicare Coding for Vaccinations Vaccination Procedures A vaccination service includes two separate elements: Administration of the vaccine The vaccine product (drug) itself Administration may be performed by an obstetriciangynecologist or another qualified health care professional