Patient presents with symptoms consistent with missed dialysis, including fatigue, fluid overload, shortness of breath, and electrolyte imbalance.  The patient reports missing their scheduled hemodialysis session on [date].  The missed dialysis treatment is confirmed by review of the patient's dialysis schedule and communication with the dialysis center.  Physical examination reveals [document specific findings, e.g., edema, elevated blood pressure, signs of uremia].  Laboratory results indicate [document specific lab abnormalities, e.g., elevated potassium, creatinine, BUN].  The patient's current clinical presentation is attributed to the missed dialysis treatment.  The plan is to resume hemodialysis as soon as possible and address electrolyte derangements.  Patient education provided regarding the importance of adherence to the prescribed dialysis schedule and potential complications of missed treatments, including fluid overload, electrolyte imbalance, and cardiovascular events.  The patient verbalized understanding of the risks associated with missing dialysis sessions.  Referral to nephrology for ongoing management of chronic kidney disease and dialysis needs.  Diagnosis: Missed dialysis (renal dialysis skipped, dialysis non-compliance, missed hemodialysis, missed peritoneal dialysis).  ICD-10 code: Z91.15 (Patient's intentional underdosing of medication regimen for other and unspecified reasons).  This code may not perfectly capture missed dialysis and clinical judgment should be used to determine the most appropriate code.