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Home/Diagnosis/ICD-10 Coding for Failure of Outpatient Treatment (Z71.1)

ICD-10 Coding for Failure of Outpatient Treatment (Z71.1)

Z71.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for failure of outpatient treatment (z71.1) includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Outpatient Treatment Failure
Nonresponse to Outpatient Therapy
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Key Information: ICD-10 Coding for Failure of Outpatient Treatment (Z71.1)

Essential facts and insights about ICD-10 Coding for Failure of Outpatient Treatment (Z71.1)

Use ICD-10 code Z71.1 for person encountering health services for counseling and medical advice, not elsewhere classified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Person encountering health services for counseling and medical advice, not elsewhere classified

Billable Code
Z71.1
Billable

Diagnostic Criteria

clinical:
  • • Documented failure of outpatient interventions with specific reasons
coding:
  • • Use as primary code only in outpatient settings

Applicable To

  • • Counseling for failure of outpatient treatment

Important Notes

  • • Ensure documentation clearly states the failure of outpatient treatment and the specific reasons.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z91.19

Patient's noncompliance with medical treatment and regimen

Use alongside Z71.1 when noncompliance is documented.

Frequently Asked Questions

When should Z71.1 be used as a primary code?

Z71.1 should be used as a primary code in outpatient settings where the main reason for the encounter is the failure of outpatient treatment.

What documentation is required for Z71.1?

Documentation must include specific interventions attempted, reasons for failure, and any noncompliance or intolerance.

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