Z91.1
Non-Billable

Patient's noncompliance with medical treatment and regimen

Non-Billable / Non-Specific Code

What is Patient's noncompliance with medical treatment and regimen?

ICD-10-CM Z91.1 is the diagnosis code for Patient's noncompliance with medical treatment and regimen. This code falls under the section "Persons with potential health hazards related to family and personal history and certain conditions influencing health status" within Chapter 21 — Factors influencing health status and contact with health services (Z00-Z99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

â„šī¸ Excludes2

Coding Guidelines for Z91.1

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in Z91.1. If the patient has both, code each condition separately:

  • caregiver noncompliance with patient's medical treatment and regimen (Z91.A-)

ICD-10-CM Code Hierarchy

Understanding where Z91.1 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 6 entries
Z91.11Patient's noncompliance with dietary regimenNon-BillableZ91.110Patient's noncompliance with dietary regimen due to financial hardshipBillableZ91.118Patient's noncompliance with dietary regimen for other reasonBillableZ91.119Patient's noncompliance with dietary regimen due to unspecified reasonBillableZ91.12Patient's intentional underdosing of medication regimenNon-BillableZ91.120Patient's intentional underdosing of medication regimen due to financial hardshipBillableZ91.128Patient's intentional underdosing of medication regimen for other reasonBillableZ91.13Patient's unintentional underdosing of medication regimenNon-BillableZ91.130Patient's unintentional underdosing of medication regimen due to age-related debilityBillableZ91.138Patient's unintentional underdosing of medication regimen for other reasonBillableZ91.14Patient's other noncompliance with medication regimenNon-BillableZ91.141Patient's other noncompliance with medication regimen due to financial hardshipBillableZ91.148Patient's other noncompliance with medication regimen for other reasonBillableZ91.15Patient's noncompliance with renal dialysisNon-BillableZ91.151Patient's noncompliance with renal dialysis due to financial hardshipBillableZ91.158Patient's noncompliance with renal dialysis for other reasonBillableZ91.19Patient's noncompliance with other medical treatment and regimenNon-BillableZ91.190Patient's noncompliance with other medical treatment and regimen due to financial hardshipBillableZ91.198Patient's noncompliance with other medical treatment and regimen for other reasonBillableZ91.199Patient's noncompliance with other medical treatment and regimen due to unspecified reasonBillable
Related Codes

Frequently Asked Questions

Is Z91.1 a billable ICD-10-CM code?

No, Z91.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does Z91.1 mean?

Z91.1 is the ICD-10-CM diagnosis code for "Patient's noncompliance with medical treatment and regimen". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of Z91.1?

The parent code of Z91.1 is Z91 ("Personal risk factors, not elsewhere classified"). Z91.1 provides a more specific classification within this category.

What section is Z91.1 in?

Z91.1 is located in Section Z77-Z99 — "Persons with potential health hazards related to family and personal history and certain conditions influencing health status" within Chapter 21 of the ICD-10-CM Tabular List.

What are the sub-codes of Z91.1?

Z91.1 has 6 sub-code(s) that provide more specific detail: Z91.11, Z91.12, Z91.13, Z91.14, Z91.15 and more.

When should I use Z91.1?

Use Z91.1 when the patients documented diagnosis matches "Patient's noncompliance with medical treatment and regimen" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Patient's noncompliance with medical treatment and regimen?

The ICD-10-CM code for Patient's noncompliance with medical treatment and regimen is Z91.1.

Can Z91.1 be used for primary diagnosis?

No, Z91.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is Z91.1 in?

Z91.1 is in Chapter 21 of the ICD-10-CM Tabular List.

Is Z91.1 valid for 2026?

Yes, Z91.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousZ91.09Other allergy status, other than to drugs and biological substancesNext →Z91.11Patient's noncompliance with dietary regimen
Code Details
Z91.1
Patient's noncompliance with medical treatment and regimen
Non-Billable / Non-Specific Code
21 — Factors influencing health status and contact with health services (Z00-Z99)
Z77-Z99 — Persons with potential health hazards related to family and personal history and certain conditions influencing health status
2026 ICD-10-CM