Medical noncompliance: Difference between revisions
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**However, if there is a medical/neurologic/psychiatric reason for the patient to be deemed unable to make their own decisions, then code THAT entity. | **However, if there is a medical/neurologic/psychiatric reason for the patient to be deemed unable to make their own decisions, then code THAT entity. | ||
**And if in such a setting the patient is medically noncompliant (as above), code that too. | **And if in such a setting the patient is medically noncompliant (as above), code that too. | ||
{{ | {{DiscussAllan | coding guidance requested }} | ||
This seems like a code that could get overused and become useless. Where do you start? How long of a pattern are we talking about. For example would you code it for an obese patient that won't lose weight as recommended? What about a COPD patient that doesn't quit smoking? What about a substance abuser who won't quit? What about a deconditioned person that doesn't go to physio. What about a cardiac patient that eats salty food and fatty food.What about a person with high stress levels and the doctor tells them to work less but they can't afford to? The list could be endless, and many of us would be guilty of a pattern of not following doctors orders at some point. Is that what you want pretty much everybody who is mentally competent and decides not to follow what the doctor said for medical management of their health? | This seems like a code that could get overused and become useless. Where do you start? How long of a pattern are we talking about. For example would you code it for an obese patient that won't lose weight as recommended? What about a COPD patient that doesn't quit smoking? What about a substance abuser who won't quit? What about a deconditioned person that doesn't go to physio. What about a cardiac patient that eats salty food and fatty food.What about a person with high stress levels and the doctor tells them to work less but they can't afford to? The list could be endless, and many of us would be guilty of a pattern of not following doctors orders at some point. Is that what you want pretty much everybody who is mentally competent and decides not to follow what the doctor said for medical management of their health? | ||
Revision as of 07:56, 2018 May 17
| ICD10 Diagnosis | |
| Dx: | Medical noncompliance |
| ICD10 code: | Z91.1 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
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 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).
- Do not however, use this code simply to identify a patient who is medically incompetent to make their own decisions.
- We are not seeking to specifically code or track people who are unable to make their own medical decisions.
- However, if there is a medical/neurologic/psychiatric reason for the patient to be deemed unable to make their own decisions, then code THAT entity.
- And if in such a setting the patient is medically noncompliant (as above), code that too.
Template:DiscussAllan This seems like a code that could get overused and become useless. Where do you start? How long of a pattern are we talking about. For example would you code it for an obese patient that won't lose weight as recommended? What about a COPD patient that doesn't quit smoking? What about a substance abuser who won't quit? What about a deconditioned person that doesn't go to physio. What about a cardiac patient that eats salty food and fatty food.What about a person with high stress levels and the doctor tells them to work less but they can't afford to? The list could be endless, and many of us would be guilty of a pattern of not following doctors orders at some point. Is that what you want pretty much everybody who is mentally competent and decides not to follow what the doctor said for medical management of their health?
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
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