Z01.021Encounter for examination of eyes and vision following failed vision screening with abnormal findings

Z01.021 is the ICD-10-CM diagnosis code for encounter for examination of eyes and vision following failed vision screening with abnormal findings. It belongs to category Z01 (encounter for other special examination without complaint, suspected or reported diagnosis), block Z00-Z13 (persons encountering health services for examinations) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z01.02 (encounter for examination of eyes and vision following failed vision screening), Z01.021 is specifically for encounter for examination of eyes and vision following failed vision screening with abnormal findings. Related codes cover without abnormal findings (Z01.020).

Use an additional code to identify abnormal findings.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It was added in FY2020, effective October 1, 2019.