Z01.118 ICD-10-CM Code: Encounter for examination of ears and hearing with other abnormal findings
HCC Buddy Code Card
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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons encountering health services for examinations (Z00-Z13)
Z01.118
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceEncounter for examination of ears and hearing with other abnormal findings
An ear and hearing examination that reveals abnormal findings other than simple hearing loss.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for Z01.118 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Z01.118 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z01.118 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for Z01.118 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Z01.118 in this effective period.
Use Additional
Official- code to identify abnormal findings
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z01.118 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is Z01.118 an HCC code?
No. Z01.118 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- Z01.118
- Description
- Encounter for examination of ears and hearing with other abnormal findings
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Z01.118 is the ICD-10-CM diagnosis code for encounter for examination of ears and hearing with other abnormal findings. An ear and hearing examination that reveals abnormal findings other than simple hearing loss. Z01.118 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons encountering health services for examinations (z00-z13).
Z01.118 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use for findings such as cerumen impaction, ear infection, or other ear pathology.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z01.118 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use for findings such as cerumen impaction, ear infection, or other ear pathology
- •Specify the actual abnormality with additional diagnosis codes for complete documentation
Use Additional Code
- code to identify abnormal findings