Z91.19 Non-Billable Code
Patient's noncompliance with other medical treatment and regimen
Effective From: 10/01/2016
Effective To: 09/30/2022
Chapter Classification
Chapter 21
Factors influencing health status and contact with health services (Z00-Z99)
Section Detail
Z77-Z99
Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
Code Hierarchy
This code is a child of Z91.1.
As a non-billable code, it requires more specific digits to be used on a medical claim.
As a non-billable code, it requires more specific digits to be used on a medical claim.
More Specific Diagnosis Codes
This code is not billable as it requires a higher level of specificity. Select a more specific code below.
- Z91.190 - Patient's noncompliance with other medical treatment and regimen due to financial hardship Billable
- Z91.198 - Patient's noncompliance with other medical treatment and regimen for other reason Billable
- Z91.199 - Patient's noncompliance with other medical treatment and regimen due to unspecified reason Billable
OPPS Editing Flags
External Cause
No
Mental Health
No
Manifestation (Edit 89)
No
Code First Applicable This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis.
No
Unacceptable PDX (Edit 113)
Yes
PDX Exclusion Logic
- OPPS Required: Yes
- Bill Type Override: No
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