Patient's noncompliance with renal dialysis for other reason

This code signifies a patient's failure to adhere to their prescribed renal dialysis regimen due to reasons other than financial hardship or age-related debility. It indicates a deliberate or unintentional deviation from the recommended frequency, duration, or other parameters of their dialysis treatment.

This code is appropriate when documentation specifies noncompliance with dialysis and attributes it to factors like patient preference, misunderstanding of instructions, psychological issues, or logistical challenges not related to cost or advanced age. It should be used when the specific reason for noncompliance is documented but does not fall under the more specific Z91.151 or Z91.152 codes.

• Always sequence this code as a secondary diagnosis, following the code for the underlying end-stage renal disease (ESRD).
• Ensure the medical record clearly documents the patient's noncompliance and the specific reason, if known, that led to the deviation from the prescribed dialysis.
• Avoid using this code if the noncompliance is due to financial reasons (Z91.151) or age-related debility (Z91.152).