ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Z23

Billable / Specific

Encounter for immunization

Z23
Block
0
Synonyms
47
LCDs
6
Payer Policies
2
Linked CPTs

About ICD-10-CM Z23

ICD-10-CM code Z23 represents Encounter for immunization. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z23). The 2026 edition of ICD-10-CM Z23 became effective on October 1, 2025.

Coding Notes

Code Also

  • , if applicable, encounter for immunization safety counseling (Z71.85)

Code First

  • any routine childhood examination

Medicare LCD Coverage for Z23

Local Coverage Determinations (LCDs) from CMS MACs that list Z23 as a covered diagnosis.

47 LCDs

Showing top 10 of 47 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Article ID: 54767, Effective: 2026-02-05 00:00:00, 3490 covered, 0 non-covered
CPT 90687 →
CMS LCD: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Article ID: 54767, Effective: 2026-02-05 00:00:00, 3490 covered, 0 non-covered
CPT 90638 →
CMS LCD: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Article ID: 54767, Effective: 2026-02-05 00:00:00, 3490 covered, 0 non-covered
CPT Q2037 →
CMS LCD: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Article ID: 54767, Effective: 2026-02-05 00:00:00, 3490 covered, 0 non-covered
CPT Q2038 →
CMS LCD: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Article ID: 54767, Effective: 2026-02-05 00:00:00, 3490 covered, 0 non-covered
CPT 90653 →
CMS LCD: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Article ID: 54767, Effective: 2026-02-05 00:00:00, 3490 covered, 0 non-covered
CPT 90685 →
CMS LCD: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Article ID: 54767, Effective: 2026-02-05 00:00:00, 3490 covered, 0 non-covered
CPT 90660 →
CMS LCD: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Article ID: 54767, Effective: 2026-02-05 00:00:00, 3490 covered, 0 non-covered
CPT 90714 →
CMS LCD: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Article ID: 54767, Effective: 2026-02-05 00:00:00, 3490 covered, 0 non-covered
CPT 90746 →
CMS LCD: Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Article ID: 54767, Effective: 2026-02-05 00:00:00, 3490 covered, 0 non-covered
CPT 90635 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Z23.

6 policies

3 Aetna

Influenza Vaccines - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0035
Pneumococcal Vaccines - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0037
Hepatitis A Vaccine - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0048

2 Cigna

Nucleic Acid Pathogen Testing - (0530)
Policy ID: MM_0530
Preventive Care Services - (A004)
Policy ID: AD_A004

1 Medicare

Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
Policy ID: ART-54767

CPT Codes Commonly Billed with Z23

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • 99202 New patient office visit — fever, headache, abdominal pain, cough, dyspnea, fatigue, dizziness, limb pain, nausea, routine exam, URI, UTI, pharyngitis, otitis, chest pain, weight loss Primary Care
  • 99211 Established patient minimal visit — BP check, medication refill, nurse visit, immunization admin, post-op follow-up, injury follow-up Primary Care

Convert Z23 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Z23 V059 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To Z23

Other codes in section Z20-Z29 (Persons with potential health hazards related to communicable diseases).

Z20 Contact with and (suspected) exposure to communicable diseases (non-billable) Z20.0 Contact with and (suspected) exposure to intestinal infectious diseases (non-billable) Z20.01 Contact with and (suspected) exposure to intestinal infectious diseases due to Escherichia coli (E. coli) Z20.09 Contact with and (suspected) exposure to other intestinal infectious diseases Z20.1 Contact with and (suspected) exposure to tuberculosis Z20.2 Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission Z20.3 Contact with and (suspected) exposure to rabies Z20.4 Contact with and (suspected) exposure to rubella Z20.5 Contact with and (suspected) exposure to viral hepatitis Z20.6 Contact with and (suspected) exposure to human immunodeficiency virus [HIV] Z20.7 Contact with and (suspected) exposure to pediculosis, acariasis and other infestations Z20.8 Contact with and (suspected) exposure to other communicable diseases (non-billable) Z20.81 Contact with and (suspected) exposure to other bacterial communicable diseases (non-billable) Z20.810 Contact with and (suspected) exposure to anthrax Z20.811 Contact with and (suspected) exposure to meningococcus Z20.818 Contact with and (suspected) exposure to other bacterial communicable diseases Z20.82 Contact with and (suspected) exposure to other viral communicable diseases (non-billable) Z20.820 Contact with and (suspected) exposure to varicella Z20.821 Contact with and (suspected) exposure to Zika virus Z20.822 Contact with and (suspected) exposure to COVID-19

ICD-10 Z23, Billing FAQ

Is ICD-10 code Z23 billable? +

Yes, Z23 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with Z23? +

Procedures frequently paired with Z23 include: 99202, 99211.

What ICD-9 codes does Z23 map to? +

Per CMS GEMs, Z23 maps to ICD-9 codes: V059. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included