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  6. 2025 ICD-10-CM Code Z97.3

2025 ICD-10-CM Diagnosis Code Z97.3

Presence of spectacles and contact lenses

ICD-10-CM Code:
Z97.3
ICD-10 Code for:
Presence of spectacles and contact lenses
Is Billable?
Yes - Valid for Submission
Code Navigator:

Z97.3 is a billable diagnosis code used to specify a medical diagnosis of presence of spectacles and contact lenses. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

Code Classification

  • Factors influencing health status and contact with health services
    Z00–Z99
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status
      Z77-Z99
      • Presence of other devices
        Z97

Approximate Synonyms

The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.

  • Able to use contact lenses
  • Able to use spectacles
  • Contact lens related conjunctivitis
  • Contact lens related giant papillary conjunctivitis
  • Difficulty using contact lenses
  • Difficulty using spectacles
  • Does use contact lenses
  • Does use spectacles
  • Finding of device of eye
  • Finding of device of eye
  • Finding of device of eye
  • Finding of device of eye
  • Finding related to ability to use contact lenses
  • Finding related to ability to use contact lenses
  • Finding related to ability to use contact lenses
  • Finding related to ability to use spectacles
  • Finding related to ability to use spectacles
  • Finding related to ability to use spectacles
  • Giant papillary conjunctivitis
  • Glaucoma caused by contact lens
  • Vertigo associated with recent change in eyeglasses
  • Wears bifocal glasses
  • Wears dark glasses
  • Wears glasses
  • Wears varifocal glasses

Clinical Classification

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

Implant, device or graft related encounter

CCSR Code: FAC009

Inpatient Default: X - Not applicable.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Giant Papillary Conjunctivitis

    conjunctivitis that is associated with contact lens wear, and which is characterized by giant papillae in the tarsal conjunctiva.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects errors and inconsistencies in ICD-10-CM diagnosis coding that can affect Medicare claim validity. These Medicare code edits help medical coders and billing professionals determine when a diagnosis code is not appropriate as a principal diagnosis, does not meet coverage criteria. Use this list to verify whether a code is valid for Medicare billing and to avoid claim rejections or denials due to diagnosis coding issues.

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.

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Present on Admission (POA)

Z97.3 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: Y

Reason: Diagnosis was present at time of inpatient admission.

CMS Pays CC/MCC DRG? YES

POA Indicator: N

Reason: Diagnosis was not present at time of inpatient admission.

CMS Pays CC/MCC DRG? NO

POA Indicator: U

Reason: Documentation insufficient to determine if the condition was present at the time of inpatient admission.

CMS Pays CC/MCC DRG? NO

POA Indicator: W

Reason: Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.

CMS Pays CC/MCC DRG? YES

POA Indicator: 1

Reason: Unreported/Not used - Exempt from POA reporting.

CMS Pays CC/MCC DRG? NO

Convert Z97.3 to ICD-9-CM

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

Problems with sight

ICD-9-CM: V41.0

Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.

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Patient Education


Eye Wear

Eye wear protects or corrects your vision. Examples are:

  • Sunglasses
  • Safety goggles
  • Glasses (also called eyeglasses)
  • Contact lenses

If you need corrective lenses, you may be able to choose between contacts or glasses. Either usually requires a prescription. Almost anyone can wear glasses. Contact lenses require more careful handling.

Many jobs and some sports carry a risk of eye injury. Thousands of children and adults get eye injuries every year. Most are preventable with proper eye protection. Everyone is at risk for eye damage from the sun year-round. It's important to regularly use sunglasses that block out at least 99% of UV rays.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.