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v1.0.0
ICD-10 Guide
ICD-10 CodesZ01.110

Z01.110

Encounter for hearing examination following failed hearing screening

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

Code Description

ICD-10 Z01.110 is a billable code used to indicate a diagnosis of encounter for hearing examination following failed hearing screening.

Key Diagnostic Point:

Z01.110 is used to document an encounter for a hearing examination that occurs after a patient has failed a preliminary hearing screening. This code is crucial in preventive care as it highlights the need for further evaluation of hearing capabilities, which can be influenced by various social determinants of health such as age, socioeconomic status, and access to healthcare services. The failure of a hearing screening may indicate underlying health issues that require further investigation, making this encounter essential for early detection and intervention. Preventive care through regular screenings can help identify hearing loss early, allowing for timely management and support. Additionally, understanding the social context of the patient, including their living conditions and access to healthcare, can provide insights into their overall health status and inform the care plan.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate documentation of the failed screening results
  • Requirement to differentiate between types of hearing examinations
  • Potential for co-existing conditions that may affect hearing
  • Variability in payer requirements for preventive services

Audit Risk Factors

  • Inadequate documentation of the failed hearing screening
  • Failure to link the Z code with appropriate CPT codes for hearing examinations
  • Lack of clarity on the patient's social determinants affecting health
  • Improper sequencing of codes in relation to primary diagnoses

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Documentation must include results of the initial hearing screening, reason for referral, and findings from the hearing examination.

Common Clinical Scenarios

Routine checkups where hearing screenings are performed, follow-up visits after failed screenings, and management of hearing-related issues.

Billing Considerations

Consideration of social determinants such as access to care, education level, and occupational noise exposure.

Public Health

Documentation Requirements

Documentation should include population-level data on hearing health, screening outcomes, and follow-up actions taken.

Common Clinical Scenarios

Community health screenings, epidemiological studies on hearing loss, and preventive health initiatives.

Billing Considerations

Focus on tracking health disparities and access to hearing health services in various populations.

Coding Guidelines

Inclusion Criteria

Use Z01.110 When
  • Z codes are used to indicate encounters for reasons other than a current illness or injury
  • When coding Z01
  • 110, it should be sequenced appropriately based on the primary diagnosis
  • Payer requirements may vary, so it is essential to verify coverage for preventive services

Exclusion Criteria

Do NOT use Z01.110 When
No specific exclusions found.

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when a patient fails a hearing screening and requires a detailed audiometric evaluation.

Documentation Requirements

Document the results of the hearing examination and any relevant history.

Specialty Considerations

Primary care providers should ensure that the examination aligns with preventive care guidelines.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding encounters like Z01.110, enabling better tracking of preventive care and health outcomes related to hearing health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding encounters like Z01.110, enabling better tracking of preventive care and health outcomes related to hearing health.

Reimbursement & Billing Impact

impact the patient's hearing health.

Resources

Clinical References

  • •
    CDC Hearing Loss Prevention

Coding & Billing References

  • •
    CDC Hearing Loss Prevention

Frequently Asked Questions

When should Z01.110 be used?

Z01.110 should be used when a patient has failed a hearing screening and requires a follow-up hearing examination to assess their hearing health. It is essential to document the results of the initial screening and any relevant social factors that may influence the patient's hearing status.