Diagnosis Code Z13.5
Information for Medical Professionals
The following edits are applicable to this code:
Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.
Convert to ICD-9
- V80.1 - Screening for glaucoma (Approximate Flag)
- V80.2 - Screening-eye cond NEC (Approximate Flag)
- V80.3 - Screening for ear dis (Approximate Flag)
Present on Admission (POA)
The code Z13.5 is exempt from POA reporting.
- Child hearing screening failure
- Child hearing screening failure referred to specialist
- Child hearing screening first failure
- Child hearing screening second failure
- Hearing screening status
- Suspected deafness
Index to Diseases and Injuries
References found for the code Z13.5 in the Index to Diseases and Injuries:
- - Screening (for) - Z13.9
Tabular List of Diseases and Injuries
References found for the code Z13.5 in the Tabular List of Diseases and Injuries:
- Type 2 Excludes Notes:
- encounter for general hearing examination (Z01.1-)
- encounter for general vision examination (Z01.0-)
Information for Patients
Your ear has three main parts: outer, middle and inner. You use all of them in hearing. Sound waves come in through your outer ear. They reach your middle ear, where they make your eardrum vibrate. The vibrations are transmitted through three tiny bones, called ossicles, in your middle ear. The vibrations travel to your inner ear, a snail-shaped organ. The inner ear makes the nerve impulses that are sent to the brain. Your brain recognizes them as sounds. The inner ear also controls balance.
A variety of conditions may affect your hearing or balance:
- Ear infections are the most common illness in infants and young children.
- Tinnitus, a roaring in your ears, can be the result of loud noises, medicines or a variety of other causes.
- Meniere's disease may be the result of fluid problems in your inner ear; its symptoms include tinnitus and dizziness.
- Ear barotrauma is an injury to your ear because of changes in barometric (air) or water pressure.
Some ear disorders can result in hearing disorders and deafness.
- Aural polyps (Medical Encyclopedia)
- Benign ear cyst or tumor (Medical Encyclopedia)
- Ear discharge (Medical Encyclopedia)
- Ear emergencies (Medical Encyclopedia)
- Ear examination (Medical Encyclopedia)
- Earache (Medical Encyclopedia)
- Eardrum repair (Medical Encyclopedia)
- Otosclerosis (Medical Encyclopedia)
- Ruptured eardrum (Medical Encyclopedia)
- Tympanometry (Medical Encyclopedia)
- Wax blockage (Medical Encyclopedia)
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
- Anisocoria (Medical Encyclopedia)
- Choroidal dystrophies (Medical Encyclopedia)
- Coloboma of the iris (Medical Encyclopedia)
- Episcleritis (Medical Encyclopedia)
- Eye and orbit ultrasound (Medical Encyclopedia)
- Eye burning - itching and discharge (Medical Encyclopedia)
- Eye pain (Medical Encyclopedia)
- Eye redness (Medical Encyclopedia)
- Fluorescein angiography (Medical Encyclopedia)
- Fluorescein eye stain (Medical Encyclopedia)
- Heterochromia (Medical Encyclopedia)
- Ophthalmoscopy (Medical Encyclopedia)
- Orbit CT scan (Medical Encyclopedia)
- Orbital pseudotumor (Medical Encyclopedia)
- Photophobia (Medical Encyclopedia)
- Pinguecula (Medical Encyclopedia)
- Pterygium (Medical Encyclopedia)
- Pupil - white spots (Medical Encyclopedia)
- Scleritis (Medical Encyclopedia)
- Slit-lamp exam (Medical Encyclopedia)
- Standard ophthalmic exam (Medical Encyclopedia)
- Subconjunctival hemorrhage (Medical Encyclopedia)
- Uveitis (Medical Encyclopedia)
Also called: Screening tests
Screenings are tests that look for diseases before you have symptoms. Screening tests can find diseases early, when they're easier to treat. You can get some screenings in your doctor's office. Others need special equipment, so you may need to go to a different office or clinic.
Some conditions that doctors commonly screen for include
- Breast cancer and cervical cancer in women
- Colorectal cancer
- High blood pressure
- High cholesterol
- Overweight and obesity
- Prostate cancer in men
Which tests you need depends on your age, your sex, your family history, and whether you have risk factors for certain diseases. After a screening test, ask when you will get the results and whom to talk to about them.
Agency for Healthcare Research and Quality
General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Index of Diseases and Injuries Definitions
- And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
- Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
- Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
- NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
- See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
- See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
- 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.
Present on Admission
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.