OPTOMETRY RELATED ICD-10 CODES : DESCRIPTIVES AS PER WHO
Persons encountering health services for examination and investigation
(Z00-Z13)
Note: Non-specific abnormal findings disclosed at the time of these examinations are classified to
category R70-R94
Z01 Other specific examinations and investigations of persons without
complaint or reported diagnosis
Includes: routine examination of specific system
Excludes: examination for:
 administrative purposes (Z02.-)
 suspect conditions, not proven (Z03.-)
special screening examinations (Z11-Z13)
Z01.0
Z02.4
Examination of eyes and vision
Excludes: examination for driving licence (Z02.4)
Examination for driving licence
Z10
Routine general check-up of defined subpopulation
Excludes: medical examination for administrative purposes (Z02.-)
Z10.1
Z10.8
Routine general check-up of inhabitants of institutions
Excludes: admission examination (Z02.2)
Routine general health check-up of other subpopulations
Schoolchildren
Students
Z13
Special Screening examination for other diseases and disorders
Z13.5
Special screening examination for eye and ear disorders
Persons encountering health services for specific procedures and health care
(Z40-Z54)
Note: Categories Z40-Z54 are intended for use to indicate a reason for care. They may be used for
patients who have already been treated for disease or injury, but who are receiving follow-up or
prophylactic care, convalescent care or care to consolidate the treatment, to deal with residual states, to
ensure that the condition has not recurred, or to prevent recurrence.
Excludes: follow-up examination for medical surveillance after treatment (Z08-Z09)
Z41
Procedures for purposes other than remedying health state
Z41.8
Z41.9
Other procedures for purposes other than remedying health state
Procedures for purposes other than remedying health state, unspecified
Z44
Fitting and adjustment of external prosthetic device
Excludes: presence of prosthetic device (Z97-)
Z44.2
Fitting and adjustments of artificial eye
Excludes: mechanical complications of ocular prosthesis (T85.3)
Z46
Fitting and adjustment of other devices
Excludes: issue of repeat prescription only (Z76.0)
malfunction or other complications of device – see Alphabetical list
presence of prosthetic and other devices (Z95-Z97)
Z46.0
Fitting and adjustment of spectacles and contact lenses
Z50
Care involving use rehabilitation procedures
Excludes: counselling (Z70-Z71)
Z50.6
Orthoptic training
Persons with potential health hazards related to socioeconomic and psychosocial
circumstances. (Z55-Z65)
Z55
Problems related to education and literacy
Excludes: disorders of psychological development (F80-F89)
Z55.3
Underachievement in school
Persons encountering health services in other circumstances (Z70-Z76)
Z76
Persons encountering health services in other circumstances
Z76.0
Issue of repeat prescription
Issue of repeat prescription for:
 appliances
 medicaments
 spectacles
Excludes: excludes issue of medical certificate (Z02.7)
Persons with potential health hazards related to family and personal history and certain
conditions influencing health status (Z80-Z99)
Excludes: follow-up examination (Z08-Z09)
Follow-up medical care and convalescence (Z42-Z51, Z54.-)
when family or personal history is the reason for special screening or other examination or investigation
(Z00-Z13)
Z83
Family history of other specific disorders
Excludes: contact with or exposure to communicable disease in the family (Z20.-)
Z83.5
Family history of eye and ear disorders
Conditions classifiable to H00-H53, H55-H83, H92-H95
Excludes: family history of:
 blindness and visual loss (Z82.1)
Z96
Presence of other functional implants
Excludes: complications of internal prosthetic devices, implants and grafts (T82-T85)
Fitting and adjustment of prosthetic and other devices (Z44-Z46)
Z96.1
Presence of intraocular lens
Pseudophakia
Z97
Presence of other devices
Excludes: complications of internal prosthetic devices, implants and grafts (T82-T85)
Fitting and adjustment of prosthetic and other devices (Z44-Z46)
Z97.0
Presence of artificial eye
Z97.3
Presence of spectacles and contact lenses
H52 Disorders of refraction and accommodation
H52.0 Hypermetropia
H52.1 Myopia
Excludes: degenerative myopia (H44.2)
H52.2 Astigmatism
H52.3 Anisometropia and aniseikonia
H52.4 Presbyopia
H52.5 Disorders of accommodation
Internal Ophthalmoplegia (complete) (total)
Paresis}
} Of accommodation
Spasm}
H52.6 Other disorders of refraction
H52.7 Disorders of refraction, unspecified
Visual disturbances and blindness (H53-H54)
H53
Visual disturbances
H53.0 Amblyopia ex anopsia
Amblyopia:
 anisometropic
 deprivation
 strabismic
H53.1 Subjective visual disturbances
Asthenopia
Day blindness
Hemeralopia
Metamorphopsia
Photophobia
Scintillating scotoma
Sudden visual loss
Visual halos
Excludes: visual hallucinations (R44.1)
H53.2 Diplopia
Double vision
H53.3 Other disorders of binocular vision
Abnormal retinal correspondence
Fusion with defective stereopsis
Simultaneous visual perception without fusion
Suppression of binocular vision
H53.4 Visual field defects
Enlarged blind spot
Generalized contraction of visual fields
Hemianop(s)ia (heteronymous) (homonymous)
Quadrant anop(s)ia
Scotoma:
 arcuate
 Bjerrum


central
ring
H53.5 Colour vision deficiencies
Achromatopsia
Acquired colour vision deficiency
Colour blindness
Deutranomaly
Deutranopia
Protanomaly
Protanopia
Tritanomaly
Tritanopia
Excludes: day blindness (H53.1)
H53.6 Night blindness
Excludes: due to vitamin A deficiencies (E50.5)
H53.8 Other visual disturbances
H53.9 Visual disturbances, unspecified
Dated 13 June 2005
ADDITIONAL
The SA ICD-10 Coding Standards are to be used concurrently with the ICD-10 volumes and training material.
The South African ICD-10 Coding Standards, Version 1.06 (as at September 2007)
Compiled by the National Task Team for the Implementation of ICD-10
47
DSN2111 Frames sold without lenses being fitted
Code Z41.9 Procedure for purposes other than remedying health state, unspecified is the
appropriate
code for use when frames are sold without lenses being fitted.
[Reference – Minutes of the Technical Subcommittee meeting held on 4 May 2005, ICD-10 National Task
Team]
____________________________________________________________________________________
___
DSN2112 Repairs and Adjustments to appliances
Code Z46.0 Fitting and adjustment of spectacles and contact lenses is the appropriate code for
repairs
and adjustments to appliances e.g. spectacles
[Reference – Minutes of the Technical Subcommittee meeting held on 4 May 2005, ICD-10 National Task
Team]
____________________________________________________________________________________
___
DSN2113 Repeat prescription for spectacles
Z76.0 Issue of repeat prescription is the appropriate code for issue of repeat prescription for
spectacles.
[Reference – Minutes of the Technical Subcommittee meeting held on 4 May 2005, ICD-10 National Task
Team]
____________________________________________________________________________________
___
DSN2114 Binocular Vision Therapy
Z50.6 Orthoptic training includes binocular vision therapy.
[Reference – Minutes of the Technical Subcommittee meeting held on 4 May 2005, ICD-10 National Task
Team]
____________________________________________________________________________________
___