Is Z97.3 a billable ICD-10-CM code?

Yes. Z97.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z97.3 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).

Z97.3

Z97.3 — Presence of spectacles and contact lenses

Billable / specific codeICD-10-CMPOA exempt

Z97.3 is a billable, specific ICD-10-CM code for presence of spectacles and contact lenses. It is valid for submission on a claim.

Risk adjustment

Z97.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How Z97.3 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Z97.3.

Presence›contact lens(es)
Presence›spectacles

Related codes at this level

Codes that share Z97. If Z97.3 is not quite right, the correct code is usually one of these.

Questions about Z97.3

Is Z97.3 a billable ICD-10-CM code?: Yes. Z97.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z97.3 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).