ICD CODES

ICD Code Z97.5

ICD code Z97.5 is used to indicate the presence of an artificial eye in a patient’s medical record for accurate documentation and reporting.

Accelerate your revenue cycle

Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.

Get a Demo

What is ICD diagnosis code Z97.5

ICD code Z97.5 is the presence of an artificial eye.

When to use ICD code Z97.5

1. Presence of an internal prosthetic device in the patient

2. Device is a heart valve prosthesis

3. Patient has a documented history of heart valve replacement surgery

4. No current complications or malfunction of the prosthetic heart valve

5. Encounter is for routine follow-up, surveillance, or documentation of the presence of the prosthetic heart valve

Billable CPT codes for ICD code Z97.5

Relevant CPT codes that may be used to treat ICD code Z97.5 include:

- 92002 (Ophthalmological services: medical examination and evaluation, new patient)

- 92004 (Ophthalmological services: comprehensive, new patient)

- 92012 (Ophthalmological services: medical examination and evaluation, established patient)

- 92014 (Ophthalmological services: comprehensive, established patient)

- 92310 (Prescription of optical and physical characteristics of and fitting of contact lens, both eyes, except for aphakia)

- 92311 (Prescription of optical and physical characteristics of and fitting of contact lens, one eye, aphakia)

- 92312 (Prescription of optical and physical characteristics of and fitting of contact lens, both eyes, aphakia)

- 92313 (Prescription of optical and physical characteristics of and fitting of contact lens, corneoscleral lens)

- 99201–99215 (Evaluation and management services, as appropriate for office or outpatient visits)

These CPT codes are commonly associated with services related to ICD code Z97.5.

Are you being underpaid for encounters with Z97.5

See how MD Clarity’s RevFind software can automatically read your contracts and identify underpayments for CPT codes related to ICD code Z97.5. Schedule a demo today to ensure your organization is capturing every dollar it’s owed.

Get paid in full by bringing clarity to your revenue cycle

Full Page Background