• When to Bill Routine Exam ICD-10 Codes


    Question: When would it be appropriate to use Z01.01 (routine eye exam with abnormal findings) instead of Z01.00 (routine eye exam without abnormal findings)? Would that include refractive disorders such as myopia?

    Answer: The answer depends upon the patient’s vision-plan coverage. While some payers may recognize routine eye exam with abnormal findings as a covered diagnosis, other plans may not and may require only Z01.00 for vision-exam coverage.