Z91.158 Patient's noncompliance with renal dialysis for other reason
Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.
Applies from Z91 Personal risk factors, not elsewhere classified
Excludes2 (not included here)
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-)
Applies from Z91.1 Patient's noncompliance with medical treatment and regimen
Excludes2 (not included here)
caregiver noncompliance with patient's medical treatment and regimen (Z91.A-)
Code also
, if applicable, to identify underdosing of specific drug (T36-T50 with final character 6)
Risk adjustment (HCC)
CMS-HCC V22: HCC 134 — Dialysis Status
RxHCC V08: HCC 261 — Dialysis Status, Including End Stage Renal Disease
ESRD V24: HCC 134
MS-DRG index
Defines the logic of DRG(s) 951 in MDC 23.
Medicare Code Edits (MCE v43.1 (April 2026))
Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.
Code annotations containing back-references to Z91.158
Back-references to Z91.15
Type 2 Excludes: Z99.2 Dependence on renal dialysis ("noncompliance with renal dialysis (Z91.15-)")