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ICD-10 Guide
ICD-10 CodesZ01.02

Z01.02

Encounter for examination of eyes and vision following failed vision screening

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z01.02 is a billable code used to indicate a diagnosis of encounter for examination of eyes and vision following failed vision screening.

Key Diagnostic Point:

Z01.02 is used to document encounters for eye examinations that occur after a patient has failed a vision screening. This code is essential in preventive care as it highlights the need for further evaluation of visual health, which may be influenced by various social determinants such as socioeconomic status, access to healthcare, and education. Patients may present for this examination due to concerns raised during routine screenings in schools, community health fairs, or primary care settings. The encounter aims to assess potential vision issues that could affect daily functioning and quality of life. Preventive care is crucial in identifying and addressing vision problems early, thereby reducing the risk of complications. Additionally, understanding the social factors that contribute to vision health can help healthcare providers tailor interventions and resources to improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for thorough documentation of failed vision screening results
  • Potential for multiple underlying conditions affecting vision
  • Variability in payer requirements for coverage of eye examinations
  • Importance of linking social determinants of health to vision outcomes

Audit Risk Factors

  • Inadequate documentation of the failed vision screening
  • Failure to link the Z code to the appropriate examination findings
  • Incorrect sequencing of codes when co-existing conditions are present
  • Lack of clarity on the patient's history and social determinants

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Document the results of the initial vision screening, patient history, and any relevant social factors impacting vision health.

Common Clinical Scenarios

Routine checkups where vision screenings are performed, followed by referrals for further examination due to failed results.

Billing Considerations

Consideration of social determinants such as access to care, education level, and socioeconomic status that may affect vision health.

Public Health

Documentation Requirements

Population-level data on vision screening outcomes, including demographics and social determinants.

Common Clinical Scenarios

Community health initiatives aimed at improving vision health through screenings and follow-up examinations.

Billing Considerations

Focus on tracking health disparities and outcomes related to vision health across different populations.

Coding Guidelines

Inclusion Criteria

Use Z01.02 When
  • Z codes are used when a patient encounters a healthcare provider for reasons other than a specific illness or injury
  • 02 should be sequenced after any primary diagnosis related to the examination findings
  • Payer requirements may vary, so it is essential to verify coverage for preventive services

Exclusion Criteria

Do NOT use Z01.02 When
No specific exclusions found.

Related CPT Codes

92014CPT Code

Ophthalmological examination, established patient

Clinical Scenario

Used when a patient presents for a comprehensive eye examination after failing a vision screening.

Documentation Requirements

Document the reason for the examination, findings from the screening, and any relevant patient history.

Specialty Considerations

Primary care providers should ensure they are aware of the latest guidelines for vision screenings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding, particularly for encounters related to preventive care and social determinants of health. Z01.02 provides a clear framework for documenting follow-up examinations after failed screenings.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding, particularly for encounters related to preventive care and social determinants of health. Z01.02 provides a clear framework for documenting follow-up examinations after failed screenings.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding, particularly for encounters related to preventive care and social determinants of health. Z01.02 provides a clear framework for documenting follow-up examinations after failed screenings.

Resources

Clinical References

  • •
    Vision Health Guidelines

Coding & Billing References

  • •
    Vision Health Guidelines

Frequently Asked Questions

What documentation is required for Z01.02?

Documentation must include the results of the failed vision screening, the reason for the follow-up examination, and any relevant patient history, including social determinants that may impact vision health.