Tina Posted Fri 26th of August, 2016 10:39:53 AM
When a patient presents for a hearing &/or vision screening that was not done at the time of the routine exam & fails the screening, it’s coded with the Dx code Z01.01 (Encounter for examination of eyes and vision with abnormal findings) & Z01.118 (Encounter for examination of ears and hearing with other abnormal findings). Both of these Dx codes have a coding guideline indicating to use additional code to identify abnormal findings. At the time of service, there usually isn’t a definitive Dx available to use & the patient is referred to a specialist.
What suggestions for an additional Dx code can be used in these instances. This would also apply for failed screenings done at the time of the preventive exam. For the hearing, the code I was thinking is-unspecified hearing loss (H91.91, H91.92 & H91.93). For the Vision-unspecified visual loss (H54.7). Please let me know if this is correct or what would be appropriate in these cases.
SuperCoder Answered Mon 29th of August, 2016 03:30:21 AM
Hearing codes H91.91, H91.92 & H91.93 can be coded.
Also, for vision H54.7,H53.4 is appropriate.
Hope this helps!