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ICD-10-CM 2027 diagnosis code

Z91.151Patient's noncompliance with renal dialysis due to financial hardship

✓ Billable / specificPOA exemptNot a principal dx

Z91.151 is a valid, billable ICD-10-CM code for patient's noncompliance with renal dialysis due to financial hardship. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Pt noncompl with renal dialysis due to financl hardship

Code last changed in FY2023 (effective October 1, 2022). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About Z91.151

Z91.151 is the ICD-10-CM diagnosis code for patient's noncompliance with renal dialysis due to financial hardship. It belongs to category Z91 (personal risk factors, not elsewhere classified), block Z77-Z99 (persons with potential health hazards related to family and personal history and certain conditions influencing health status) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z91.15 (patient's noncompliance with renal dialysis), Z91.151 is specifically for patient's noncompliance with renal dialysis due to financial hardship. Related codes cover for other reason (Z91.158).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It was added in FY2023, effective October 1, 2022.

Notes that apply from higher levels

Instructions written at a parent level also apply to Z91.151.

› From Z91.1 Patient's noncompliance with medical treatment and regimen
Excludes2
  • 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)
› From Z91 Personal risk factors, not elsewhere classified
Excludes2
  • 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-)

Broader instructions also apply from Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status and Chapter 21: Factors influencing health status and contact with health services.

Alphabetic index entries

3 entries

Terms in the official ICD-10-CM index that lead to Z91.151.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2023 (effective 10/1/2022): Added
  • No changes since FY2023.

Common questions about Z91.151

Is Z91.151 billable?

Yes. Z91.151 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z91.151 be used as a principal diagnosis?

No. It is not acceptable as the principal diagnosis for an inpatient stay; it may be reported as a secondary diagnosis.

Is Z91.151 a CC or MCC?

No. Z91.151 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z91.151 group to?

Z91.151 is used in the MS-DRG v44.0 logic for MS-DRG 951 (Other Factors Influencing Health Status). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.