Patient's noncompliance with renal dialysis Z91. 15 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z91. 15 became effective on October 1, 2021.
If the patient is also documented as having AKI with volume overload, coding guidelines state that the AKI would be coded first followed by the codes for volume overload: CHF (chronic or unspecified), ESRD (N18. 6), and dialysis noncompliance.
Having too much water in your body is called fluid overload or hypervolemia. One of the main functions of the kidneys is to balance fluid in the body. If too much fluid builds up in your body, it can have harmful effects on your health, such as difficulty breathing and swelling.
ICD-10-CM Code for Fluid overload, unspecified E87. 70.
Z91.15Z91. 15 - Patient's noncompliance with renal dialysis | ICD-10-CM.
ICD-10-CM Code for End stage renal disease N18. 6.
When you skip treatments, extra fluid will need to be removed when you go back to dialysis and this may make your next treatment harder for you. Removing extra fluid can cause cramping, headaches, low blood pressure, or nausea as the healthcare teams tries to get you back to your dry weight.
Without dialysis, toxins build up in the blood, causing a condition called uremia. The patient will receive whatever medicines are necessary to manage symptoms of uremia and other medical conditions. Depending on how quickly the toxins build up, death usually follows anywhere from a few days to several weeks.
Your kidneys are responsible for removing excess fluid from your body. When your kidneys aren't working well, fluid can build up. Congestive heart failure. When your heart is not pumping enough blood, your kidneys aren't able to work as well, leaving excess fluid in your body.
Fluid Volume Excess (FVE), or hypervolemia, refers to an isotonic expansion of the ECF due to an increase in total body sodium content and an increase in total body water.
With respect to fluid overload and CCF, Coding Matters Volume 7 No 3 under Congestive heart failure advises it is not necessary to code fluid overload in a patient with CHF.
The opposite condition is hypovolemia, which is too little fluid volume in the blood. Fluid volume excess in the intravascular compartment occurs due to an increase in total body sodium content and a consequent increase in extracellular body water.
In this case CHF exacerbation is the PDX because it is the worsening state. Even though the dialysis patient undegoing we dont know which stage the patient is in. If we dont treat dialysis the patient might goes to next level.. But if we dont treat exacerbation conditions it might lead to death.
So Fluid overload can not be coded if we are coding CHF exacerbation. Also the patient had dialysis during the hospital stay.. But he/she is not treated for that dialysis.