Medical noncompliance: Difference between revisions

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== Additional Info ==

*This code refers to a ~~pattern~~ whereby a patient has not -- prior to admission -- followed doctors' orders for ''medical management'' in a way that may harm them.

*This code refers to a consistent PATTERN OVER TIME whereby a patient has not -- prior to admission -- followed doctors' orders for ''medical management'' in a way that may harm them.

**Thus, it can be used as a comorbid diagnosis or an admit diagnosis, but should NOT be used as an acquired diagnosis.

*This can occur either by willful choice, or the person now understanding the instructions, or even not being able to afford medications, etc.

*While this USUALLY means not taking their meds, it can also refer to not doing other things recommended in a way that may harm them (e.g. an MI patient who isn't going to cardiac rehab).

*In chronic HD population-those not showing up for or missing multiple treatments.

*In chronic hemodialysis population-those not showing up for or missing multiple treatments.

*Those with chronic serious infections not showing up for their IV antibiotics in community

*Do not however, use this code simply to identify a patient who is medically incompetent to make their own decisions.

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**e.g. where you should code it: Admitted for hypertensive emergency and was not taking prescribed anti-hypertensive medications

**e.g. where you should '''NOT''' code it: Admitted for pneumonia, with hypertension as a '''[[Comorbid Diagnosis]]''' was not taking prescribed anti-hypertensive medications

*Based on the above, this code should only be used as an [[Admit Diagnosis]], i.e. noncompliance with some aspect of their care is related to a medical reason for admission. So don't code it as a [[Comorbid Diagnosis]].

== Alternate ICD10s to consider coding instead or in addition ==

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 == Additional Info ==
-*This code refers to a pattern whereby a patient has not -- prior to admission -- followed doctors' orders for ''medical management'' in a way that may harm them.
+*This code refers to a consistent PATTERN OVER TIME whereby a patient has not -- prior to admission -- followed doctors' orders for ''medical management'' in a way that may harm them.
+**Thus, it can be used as a comorbid diagnosis or an admit diagnosis, but should NOT be used as an acquired diagnosis.
 *This can occur either by willful choice, or the person now understanding the instructions, or even not being able to afford medications, etc.
 *While this USUALLY means not taking their meds, it can also refer to not doing other things recommended in a way that may harm them (e.g. an MI patient who isn't going to cardiac rehab).
-*In chronic HD population-those not showing up for or missing multiple treatments.
+*In chronic hemodialysis population-those not showing up for or missing multiple treatments.
 *Those with chronic serious infections not showing up for their IV antibiotics in community
 *Do not however, use this code simply to identify a patient who is medically incompetent to make their own decisions.
@@ Line 24: / Line 25: @@
 **e.g. where you should code it:  Admitted for hypertensive emergency and was not taking prescribed anti-hypertensive medications
 **e.g. where you should '''NOT''' code it:  Admitted for pneumonia, with hypertension as a '''[[Comorbid Diagnosis]]''' was not taking prescribed anti-hypertensive medications
+*Based on the above, this code should only be used as an [[Admit Diagnosis]], i.e. noncompliance with some aspect of their care is related to a medical reason for admission.  So don't code it as a [[Comorbid Diagnosis]].
 == Alternate ICD10s to consider coding instead or in addition ==