Z91.A91

Z91.A91: Caregiver's noncompliance with patient's other medical treatment and regimen due to financial hardship

Billable / specific codeICD-10-CMPOA exempt

Z91.A91 is a billable, specific ICD-10-CM code for caregiver's noncompliance with patient's other medical treatment and regimen due to financial hardship. It is valid for submission on a claim.

Check Z91.A91 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above Z91.A91

Not part of this code, but both may be coded when both are present.

Written on Z91: Personal risk factors, not elsewhere classified

contact with and (suspected) exposures hazardous to health (Z77.-)
exposure to pollution and other problems related to physical environment (Z77.1-)
female genital mutilation status (N90.81-)
occupational exposure to risk factors (Z57.-)
personal history of physical injury and trauma (Z87.81, Z87.82-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z91.A91 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54799Billing and Coding: Urine Drug Testing
A55001Billing and Coding: Urine Drug Testing
A56818Billing and Coding: Urine Drug Testing
A59416Billing and Coding: Urine Drug Testing

Alphabetic index entries that lead here

Noncompliance›caregiver›with patient's›medical treatment and regimen›due to financial hardship

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z91.A9

Z91.A98Caregiver's noncompliance with patient's other medical treatment and regimen for other reason