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Z96.1

Billable

Presence of intraocular lens

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A patient has had an artificial lens implanted in their eye, typically after cataract surgery or to correct vision problems.

Coding Tips

  • This code indicates successful implantation; use it even if the patient is experiencing refractive errors post-implantation unless a specific complication code applies
  • Document which eye(s) have the intraocular lens for complete clinical documentation

Code Hierarchy

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