2017/18 ICD-10-CM Diagnosis Code Z98.4

Cataract extraction status

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify intraocular lens implant status (
    ICD-10-CM Diagnosis Code Z96.1

    Presence of intraocular lens

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Presence of pseudophakia
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z98.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • aphakia (
    ICD-10-CM Diagnosis Code H27.0


      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Acquired absence of lens
    • Acquired aphakia
    • Aphakia due to trauma
    Type 1 Excludes
    • cataract extraction status (Z98.4-)
    • congenital absence of lens (Q12.3)
    • congenital aphakia (Q12.3)
The following code(s) above Z98.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z98.4:
  • Z00-Z99
    2018 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    • Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
    • (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
    • (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
    Factors influencing health status and contact with health services
  • Z77-Z99
    2018 ICD-10-CM Range Z77-Z99

    Persons with potential health hazards related to family and personal history and certain conditions influencing health status

    Code Also
    • any follow-up examination (Z08-Z09)
    Persons with potential health hazards related to family and personal history and certain conditions influencing health status
  • Z98
    ICD-10-CM Diagnosis Code Z98

    Other postprocedural states

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • aftercare (Z43-Z49, Z51)
    • follow-up medical care (Z08-Z09)
    • postprocedural complication - see Alphabetical Index
    Other postprocedural states
Code History
Code annotations containing back-references to Z98.4:

Diagnosis Index entries containing back-references to Z98.4:

ICD-10-CM Codes Adjacent To Z98.4
Z97.2 Presence of dental prosthetic device (complete) (partial)
Z97.3 Presence of spectacles and contact lenses
Z97.4 Presence of external hearing-aid
Z97.5 Presence of (intrauterine) contraceptive device
Z97.8 Presence of other specified devices
Z98 Other postprocedural states
Z98.0 Intestinal bypass and anastomosis status
Z98.1 Arthrodesis status
Z98.2 Presence of cerebrospinal fluid drainage device
Z98.3 Post therapeutic collapse of lung status
Z98.4 Cataract extraction status
Z98.41 …… right eye
Z98.42 …… left eye
Z98.49 …… unspecified eye
Z98.5 Sterilization status
Z98.51 Tubal ligation status
Z98.52 Vasectomy status
Z98.6 Angioplasty status
Z98.61 Coronary angioplasty status
Z98.62 Peripheral vascular angioplasty status
Z98.8 Other specified postprocedural states

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.