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Home/Diagnosis/ICD-10 Coding for Medication Noncompliance

ICD-10 Coding for Medication Noncompliance

Z91.120
Z91.130

Complete ICD-10-CM coding and documentation guide for icd-10 coding for medication noncompliance includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Medication Nonadherence
Drug Noncompliance
medicine nonadherence
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Key Information: ICD-10 Coding for Medication Noncompliance

Essential facts and insights about ICD-10 Coding for Medication Noncompliance

Use ICD-10 code Z91.120 for patient's intentional underdosing of medication regimen due to financial hardship, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Patient's intentional underdosing of medication regimen due to financial hardship

Billable Code
Z91.120
Billable

Diagnostic Criteria

clinical:
  • • Patient reports skipping doses to save money.
documentation:
  • • Pharmacy records indicate delayed refills.

Applicable To

  • • Intentional underdosing due to cost

Important Notes

  • • Ensure documentation clearly states the patient's financial hardship as the reason for underdosing.

Patient's unintentional underdosing of medication regimen

Billable Code
Z91.130
Billable

Diagnostic Criteria

clinical:
  • • Documentation of cognitive impairment or physical limitations
  • • Caregiver reports or medication logs

Applicable To

  • • Unintentional underdosing due to cognitive impairment

Important Notes

  • • Ensure documentation includes evidence of cognitive or physical limitations.
Ancillary Codes

Additional codes that may be used with this diagnosis

T36-T50.6

Underdosing of drugs, medicaments and biological substances

Use to specify the drug involved in the underdosing.

Frequently Asked Questions

What is the ICD-10 code for medication noncompliance?

The ICD-10 code for medication noncompliance includes Z91.120 for intentional underdosing due to financial hardship and Z91.130 for unintentional underdosing due to cognitive or physical limitations.

How do you document medication noncompliance?

Document medication noncompliance by including patient statements, reasons for noncompliance, and any clinical impacts. Ensure to specify whether the underdosing is intentional or unintentional.

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