In simple words: This code is used for a routine eye exam when you have no current eye problems or concerns.

This code is used for encounters with health services for a routine eye and vision examination, when no specific complaint, suspected, or reported diagnosis is present.It covers routine check-ups and assessments of eye health and visual acuity.

Example 1: A patient schedules an annual eye exam to check their vision and overall eye health. They have no current complaints or symptoms., A child receives a vision screening at school and is referred for a comprehensive eye exam to assess their visual acuity and rule out any underlying eye conditions, even though they have no reported symptoms., An adult with a family history of glaucoma schedules an eye exam as a preventative measure, despite having no current eye problems.

Documentation should include the reason for the encounter, a detailed record of the eye and vision examination performed (including visual acuity measurements, assessment of ocular structures, and any diagnostic tests conducted), and any diagnoses or recommendations made.

** This code excludes examinations for administrative purposes (such as obtaining a driver's license) and examinations for suspected conditions that are proven not to exist. Additionally, it excludes screening examinations. It is important to use the most specific Z code available for the encounter.