Patient presents with medication noncompliance, also referred to as medication nonadherence, demonstrating a pattern of suboptimal medication management.  This includes missed doses, incorrect dosage, premature discontinuation of prescribed medications, and failure to refill prescriptions, impacting therapeutic outcomes.  Discussion with the patient revealed contributing factors including but not limited to cost concerns, medication side effects, complex medication regimen, forgetfulness, lack of understanding of the medication's purpose, and perceived lack of efficacy.  Assessment of medication adherence was conducted through patient interview, medication reconciliation, and review of pharmacy records.  The patient's understanding of the importance of medication adherence for disease management was assessed and reinforced.  A collaborative, patient-centered approach to improving medication compliance was initiated.  This includes strategies such as medication simplification, pill organizers, dose reminders, patient education regarding disease process and medication benefits, and addressing cost barriers through exploration of patient assistance programs.  Referral to a pharmacist or case manager may be considered for ongoing medication management support.  Follow-up scheduled to monitor adherence and therapeutic response.  This documentation supports medical billing and coding for diagnosis of medication noncompliance and subsequent patient education and care management interventions.