Carers noncompl with pt renal dialysis due to fin hrdshp

This code signifies that a patient requiring renal dialysis is not adhering to their prescribed treatment regimen because their caregiver is unable to meet the financial demands associated with the therapy. This noncompliance can lead to serious health complications for the patient due to inadequate or missed dialysis sessions.

Apply this code when documentation clearly indicates that a patient's caregiver is unable to ensure consistent renal dialysis due to financial constraints, directly impacting the patient's adherence. This would be used in conjunction with codes for the underlying end-stage renal disease and any associated complications. It highlights a social determinant of health affecting treatment outcomes.

• Always sequence this code as a secondary diagnosis, following the code for the underlying renal disease.
• Ensure the medical record explicitly states the caregiver's financial hardship as the reason for noncompliance.
• Do not use if the patient themselves, rather than the caregiver, is noncompliant due to financial reasons (use Z91.A41 in that case).