Z01.0 vs Z13.5
Z01.0 (Encounter for examination of eyes and vision) compared with Z13.5 (Encounter for screening for eye and ear disorders), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. Z01.0 carries an Excludes2 note covering Z13.5: “screening examinations (Z11-Z13)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. Z13.5 carries an Excludes2 note covering Z01.0: “encounter for general vision examination (Z01.0-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| Z01.0Encounter for examination of eyes and vision | Z13.5Encounter for screening for eye and ear disorders | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Encounter for examination of eyes and vision is a non-billable ICD-10-CM category code (Z01.0). | Encounter for screening for eye and ear disorders is a billable ICD-10-CM diagnosis code (Z13.5). |
| Includes | routine examination of specific system | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources