2026 ICD-10-CM Diagnosis Code Z97.0Presence of artificial eye

ICD-10-CM Codes›Z00–Z99›Z77-Z99›Z97

ICD-10-CM Z97.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z97.0 is a billable ICD-10-CM diagnosis code for presence of artificial eye. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. The code is not accepted as a principal diagnosis by the Medicare Code Editor and exempt from POA reporting. Coders also document this condition as finding of device of eye. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Implant, device or graft related encounter.

Code Identity

ICD-10-CM Code
Z97.0
Billable Status
Yes — Valid for Submission
Code Describes
Presence of artificial eye
Short Description
Presence of artificial eye
Same as the full description in the CMS dataset.
Parent Code
Z97
Presence of other devices

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ77-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status
CategoryZ97Presence of other devices
This CodeZ97.0Presence of artificial eye

Code EditsBilling

Medicare Code Editor checks that affect claim validity for Z97.0.

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.

Present on Admission (POA)Billing

Z97.0 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Finding of device of eye
  • Finding of prosthesis of eyeball
  • H/O: artificial eyeglobe
  • Prosthetic eye in situ

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Presence(of)
      • artificial
        • eye (globe)
    • Replacement by artificial or mechanical device or prosthesis of
      • eye globe
    • Status(post)
      • organ replacement
        • by artificial or mechanical device or prosthesis of
          • eye globe

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC009
Implant, device or graft related encounter
Default principal diagnosis: inpatient No · outpatient Yes

Convert Z97.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V43.0 Eye replacement NEC
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z97.0Overview

Is Z97.0 (Presence of other devices) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report presence of artificial eye on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does Z97.0 group to?

On inpatient claims, presence of artificial eye maps to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

Can Z97.0 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because presence of artificial eye describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

Is Z97.0 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for presence of artificial eye on inpatient claims.

What is the ICD-9 equivalent of Z97.0?

Under the General Equivalence Mappings, presence of artificial eye converts to ICD-9-CM V43.0 (eye replacement NEC). The mapping is a direct match.