Z13.5

Z13.5: Encounter for screening for eye and ear disorders

Billable / specific codeICD-10-CMPOA exempt

Z13.5 is a billable, specific ICD-10-CM code for encounter for screening for eye and ear disorders. It is valid for submission on a claim.

Check Z13.5 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

encounter for general hearing examination (Z01.1-)
encounter for general vision examination (Z01.0-)

Excludes1 inherited from the categories above Z13.5

A category’s note binds every code beneath it.

Written on Z13: Encounter for screening for other diseases and disorders

encounter for diagnostic examination-code to sign or symptom

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z13.5 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53495Glaucoma Screening

Alphabetic index entries that lead here

Screening›cataract
Screening›glaucoma
Screening›congenital›eye disorder
Screening›disease or disorder›ear
Screening›disease or disorder›eye

Code history

Unchanged in every release from FY2024 to FY2027.