ICD-10-CM Code for Patient's noncompliance with medical treatment and regimen Z91. 1.
ICD-10-CM Code for Procedure and treatment not carried out because of other contraindication Z53. 09.
Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure. Z53. 1 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 Z53.
Z53. 29 - Procedure and treatment not carried out because of patient's decision for other reasons | ICD-10-CM.
Denial Reason, Reason/Remark Code(s) CO-B15: Payment adjusted because this procedure/service requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated.
Modifier 53 applies if the provider quits a procedure because the patient is at risk. In other words, the provider does not so much choose to discontinue the procedure, as sound medical practice compels him or her to do so.
If such a person refuses a blood transfusion on behalf of the patient, the medical practitioner will have to obtain a court order if he/she is of the view that a blood transfusion should nevertheless be administered.
The physician may comply with the refusal to accept a life-saving transfusion if the patient made a sufficiently recent signed declaration to that effect while conscious and competent; if the parents of a minor Jehovah's Witness who is incompetent refuse permission for a life-saving blood transfusion, the physician may ...
Jehovah's Witnesses accept medial and surgical treatment. They do not adhere to so-called “faith healing” and are not opposed to the practice of medicine.
Z53. 20 - Procedure and treatment not carried out because of patient's decision for unspecified reasons | ICD-10-CM.
If you think of modifier 57 as the “decision for surgery” modifier, it's time to change your mind. Modifier 57 applies when the physician determines the need for any major procedure—whether surgical or non-surgical.
Unlisted codes are assigned when submitting claims for procedures/services where a CPT/HCPCS code is not otherwise specified. According to the AMA (American Medical Association) instructions for the CPT Code Set, select the names of the procedure/service that accurately identifies the service performed.
Z53. 8 is assigned as an additional diagnosis as per ACS 0011; and ICD-10-AM Alphabetic Index pathway: Cancelled procedure, because of, specified reason.
If no such procedure or service exists, then report the service using the appropriate unlisted procedure or service code.” Use of an unlisted code is common when a physician performs a new procedure or utilizes new technology when no other CPT code adequately describes the procedure or service.
Unlisted codes provide the means of reporting and tracking services and procedures until a more specific code is established. Because unlisted and unspecified procedure codes are not specific, health care providers must submit supporting documentation so that payers can determine coverage and payment.