ICD Code Z91.19

ICD code Z91.19 is a code used to indicate a patient’s noncompliance with medical treatment and regimen for reasons not elsewhere classified.

1. Patient has a documented history of noncompliance with medical treatment or regimen.

2. Noncompliance is due to reasons other than financial hardship.

3. The noncompliance is not specified as being related to medication.

4. The noncompliance may involve refusal or failure to follow prescribed therapy, attend follow-up appointments, or adhere to recommended lifestyle modifications.

5. The behavior is recurrent or ongoing, rather than a single isolated incident.

6. The noncompliance is clinically relevant and impacts the patient’s care or health outcomes.

Relevant CPT codes that may be used to treat ICD code Z91.19 include:

- 99201–99215 (Office or other outpatient evaluation and management services)

- 99401–99404 (Preventive medicine counseling and/or risk factor reduction intervention)

- 99406–99409 (Smoking and tobacco use cessation counseling visit)

- 99420 (Administration and interpretation of health risk assessment instrument)

- 96160–96161 (Administration of patient-focused health risk assessment instrument)

- 99381–99397 (Preventive medicine evaluation and management)

The selection of CPT codes should be based on the specific clinical scenario and services provided.

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