Z91.151

Billable

Patient's noncompliance with renal dialysis due to financial hardship

HCC Category Mapping

V24HCC 134 — Dialysis Status

0.452

ESRDHCC 134 — Dialysis Status

0.000

RxHCCHCC 261 — End Stage Renal Disease and Dialysis

0.000

What This Code Means

A patient is not attending or completing their prescribed kidney dialysis treatments because they cannot afford the associated costs.

Coding Tips

•This code is specific to dialysis noncompliance due to financial barriers; dialysis is a life-sustaining treatment
•Coordinate with social work and financial counseling to address barriers to dialysis access

Clinical Significance

This code identifies a critical barrier to life-sustaining treatment that significantly increases mortality risk and healthcare costs. Financial hardship causing dialysis noncompliance requires immediate social work intervention and may qualify patients for emergency financial assistance programs.

Documentation Requirements

✓Clear documentation of dialysis noncompliance
✓Specific identification of financial hardship as the cause
✓Evidence of patient's inability to pay for treatment
✓Documentation of missed or incomplete dialysis sessions
✓Social work assessment of financial barriers
✓Attempts to address financial obstacles
✓Impact on patient's health status
✓Alternative payment options explored

Commonly Confused Codes

Z91.158 — Noncompliance for other reasons (not financial)Z91.A51 — Caregiver noncompliance due to financial hardship Z91.15 — Patient noncompliance with other medical treatment Z99.2 — Dependence on renal dialysis (compliant patient)N18.6 — End stage renal disease without compliance issues

Code Hierarchy

└Z91Personal risk factors, not elsewhere classified └Z91.1Patient's noncompliance with medical treatment and regimen └Z91.15Patient's noncompliance with renal dialysis └Z91.151Patient's noncompliance with renal dialysis due to financial hardship

└Z91.151Patient's noncompliance with renal dialysis due to financial hardship