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ICD Codes (ICD9 ICD10)
Parental Refusal to Vaccinate Resources
Update:
October 1, 2015 ICD9 is scheduled to be replaced in the United States with ICD10:

See http://www.icd9data.com/2012/Volume1/V01-V91/V60-V69/V64/V64.05.htm

2015 ICD-10-CM Diagnosis Code Z28.1
Immunization not carried out because of patient decision for reasons of belief or group pressure

http://www.icd10data.com/ICD10CM/Codes/Z00-Z99/Z20-Z28/Z28-/Z28.1

IDC9 from 2006
FROM AAP - Archive: https://www2.aap.org/immunization/pediatricians/pdf/VaccinationNotCarriedOutVCodes.pdf

Parental Refusal to Vaccinate Resources
For 2006, there are approximately 180 new codes, revisions, and deletions to ICD-9-CM. Included among these changes are ten new ICD-9-CM codes that allow greater specificity in reporting the reason why a vaccination is not administered. Previously, the only option ICD-9-CM offered in this regard was a single code for “vaccination not carried out because of contraindication” (V64.0). However, the 2006 version of ICD-9-CM includes the following new codes:
V64.00 Vaccination not carried out, unspecified reason
V64.01 Vaccination not carried out because of acute illness
V64.02 Vaccination not carried out because of chronic illness or condition
V64.03 Vaccination not carried out because of immune compromised state
V64.04 Vaccination not carried out because of allergy to vaccine or component
V64.05 Vaccination not carried out because of caregiver refusal
V64.06 Vaccination not carried out because of patient refusal
V64.07 Vaccination not carried out for religious reasons
V64.08 Vaccination not carried out because patient had disease being vaccinated against
V64.09 Vaccination not carried out for other reason

These new codes are effective (and must be accepted by third party payors) on October 1, 2005. In accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Centers for Medicare and Medicaid Services (CMS) is no longer allowing payers a grace period to implement the new and revised codes.

The entire list of 2006 ICD-9-CM revisions can be obtained from the National Center for Healthcare Statistics Web site at http://www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/ftpicd9.htm#guidelines . [Now relocated to: http://www.cdc.gov/nchs/icd.htm]
For questions, please contact the AAP Division of Health Care Finance and Quality Improvement at dhcfqi@aap.org.