ICD-10-CM Code Z01.01

Encounter for examination of eyes and vision with abnormal findings

Version 2020 Replaced Code Billable Code POA Exempt

Valid for Submission

Z01.01 is a billable code used to specify a medical diagnosis of encounter for examination of eyes and vision with abnormal findings. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z01.01 might also be used to specify conditions or terms like corneal fluorescein staining present, no pupillary reaction to light, o/e - absent consensual reflex, o/e - corneal light reflex, o/e - negative angle kappa, o/e - optic disc inspection, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:Z01.01
Short Description:Encounter for exam of eyes and vision w abnormal findings
Long Description:Encounter for examination of eyes and vision with abnormal findings

Replaced Code

This code was replaced in the 2020 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • Z01.021 - Enctr for exam of eyes and vis fol fail vis scrn wbn find

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code Z01.01:

Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • code to identify abnormal findings

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z01.01 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Corneal fluorescein staining present
  • No pupillary reaction to light
  • O/E - absent consensual reflex
  • O/E - corneal light reflex
  • O/E - negative angle kappa
  • O/E - optic disc inspection
  • O/E - optic disc pale
  • O/E - pupil dilated
  • O/E - pupil not react to light
  • O/E - pupil reaction
  • O/E - pupil reaction
  • O/E - pupil reaction
  • O/E - pupil reaction to light
  • O/E - pupil reactions unequal
  • O/E - pupil regularity
  • O/E - pupil size
  • O/E - pupils irregular
  • Pallor of optic disc
  • Pupil irregular
  • Rate of pupil reaction to light - finding
  • Red reflex absent
  • Regularity of pupil - finding
  • Seidel test, positive finding

Present on Admission (POA)

Z01.01 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z01.01 to ICD-9

  • V72.0 - Eye & vision examination (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services for examinations (Z00-Z13)
      • Encntr for oth sp exam w/o complaint, suspected or reprtd dx (Z01)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Eye Diseases

Some eye problems are minor and don't last long. But some can lead to a permanent loss of vision.

Common eye problems include

  • Refractive errors
  • Cataracts - clouded lenses
  • Optic nerve disorders, including glaucoma
  • Retinal disorders - problems with the nerve layer at the back of the eye
  • Macular degeneration - a disease that destroys sharp, central vision
  • Diabetic eye problems
  • Conjunctivitis - an infection also known as pinkeye

Your best defense is to have regular checkups, because eye diseases do not always have symptoms. Early detection and treatment could prevent vision loss. See an eye care professional right away if you have a sudden change in vision, if everything looks dim, or if you see flashes of light. Other symptoms that need quick attention are pain, double vision, fluid coming from the eye, and inflammation.

NIH: National Eye Institute


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Vision Impairment and Blindness

If you have low vision, eyeglasses, contact lenses, medicine, or surgery may not help. Activities like reading, shopping, cooking, writing, and watching TV may be hard to do. The leading causes of low vision and blindness in the United States are age-related eye diseases: macular degeneration, cataract and glaucoma. Other eye disorders, eye injuries, and birth defects can also cause vision loss.

Whatever the cause, lost vision cannot be restored. It can, however, be managed. A loss of vision means that you may have to reorganize your life and learn new ways of doing things. If you have some vision, visual aids such as special glasses and large print books can make life easier. There are also devices to help those with no vision, like text-reading software and braille books.

The sooner vision loss or eye disease is found and treated, the greater your chances of keeping your remaining vision. You should have regular comprehensive eye exams by an eye care professional.

NIH: National Eye Institute


[Learn More]