Z01.0 vs Z02.4
Z01.0 and Z02.4 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
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 (for) (following) (general) (of) (routine)
- Encounter › administrative purpose only › examination for › driving license (with health service) (for)
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