Excludes1 pair
Z01.0- vs Z02.4
Z01.0 and Z02.4 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.
The official note, declared on Z01.0
examination for driving license (Z02.4)
Z01.0
Encounter for examination of eyes and vision
Not billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z00-Z13
Z02.4
Encounter for examination for driving license
Billable
- Chapter 21
- Factors influencing health status and contact with health services
- Section
- Z00-Z13
Indexed under
- Examination › medical › driving license
- Encounter › administrative purpose only › examination for › driving license
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027