Pt other noncompl with meds regimen due to financl hardship

This diagnosis code indicates that a patient is not adhering to their prescribed medication schedule or dosage because they cannot afford the medication. This noncompliance is directly attributed to financial constraints, preventing the patient from obtaining or continuing their necessary drug therapy.

Apply this code when documentation clearly states a patient's medication noncompliance is due to an inability to pay for the drugs. This often arises in chronic disease management where ongoing medication is critical, but cost is a significant barrier. It's appropriate when the patient explicitly states financial hardship as the reason for not taking their medication as prescribed.

• Ensure documentation explicitly links noncompliance to financial hardship, not other reasons like forgetfulness or side effects.
• This code is a secondary diagnosis, always reported in conjunction with the condition being treated by the non-adhered-to medication.
• Do not use if the noncompliance is due to insurance issues that are not directly financial (e.g., prior authorization delays, formulary restrictions).