2023 ICD-10-CM Diagnosis Code Z46.0

Encounter for fitting and adjustment of spectacles and contact lenses

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • Z46.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Encounter for fit/adjst of spectacles and contact lenses
  • The 2023 edition of ICD-10-CM Z46.0 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z46.0 - other international versions of ICD-10 Z46.0 may differ.
The following code(s) above Z46.0 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 Z46.0:
  • Z00-Z99
    2023 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • 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
  • Z40-Z53
    2023 ICD-10-CM Range Z40-Z53

    Encounters for other specific health care

    Applicable To
    • Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state
    Type 2 Excludes
    • follow-up examination for medical surveillance after treatment (Z08-Z09)
    Encounters for other specific health care
  • Z46
    ICD-10-CM Diagnosis Code Z46

    Encounter for fitting and adjustment of other devices

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • removal or replacement of other device
    Type 1 Excludes
    • malfunction or other complications of device - see Alphabetical Index
    Type 2 Excludes
    • encounter for fitting and management of implanted devices (Z45.-)
    • issue of repeat prescription only (Z76.0)
    • presence of prosthetic and other devices (Z95-Z97)
    Encounter for fitting and adjustment of other devices
Approximate Synonyms
  • Fitting or adjustment of glasses or contact lenses
  • Fitting or adjustment of glasses or contact lenses done
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z46.0 is considered exempt from POA reporting.
ICD-10-CM Z46.0 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 951 Other factors influencing health status

Convert Z46.0 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change

Diagnosis Index entries containing back-references to Z46.0:
  • Admission (for) - see also Encounter (for)
    • adjustment (of)
      • contact lenses Z46.0
      • spectacles Z46.0
    • fitting (of)
      • contact lenses Z46.0
      • spectacles Z46.0
  • Fitting (and adjustment) (of)
    • device NOS Z46.9
      ICD-10-CM Diagnosis Code Z46.9

      Encounter for fitting and adjustment of unspecified device

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
      • orthoptic Z46.0
    • contact lenses Z46.0
    • glasses Z46.0 (reading)
    • spectacles Z46.0

ICD-10-CM Codes Adjacent To Z46.0
Z45.49 Encounter for adjustment and management of other implanted nervous system device
Z45.8 Encounter for adjustment and management of other implanted devices
Z45.81 Encounter for adjustment or removal of breast implant
Z45.811 Encounter for adjustment or removal of right breast implant
Z45.812 Encounter for adjustment or removal of left breast implant
Z45.819 Encounter for adjustment or removal of unspecified breast implant
Z45.82 Encounter for adjustment or removal of myringotomy device (stent) (tube)
Z45.89 Encounter for adjustment and management of other implanted devices
Z45.9 Encounter for adjustment and management of unspecified implanted device
Z46 Encounter for fitting and adjustment of other devices
Z46.0 Encounter for fitting and adjustment of spectacles and contact lenses
Z46.1 Encounter for fitting and adjustment of hearing aid
Z46.2 Encounter for fitting and adjustment of other devices related to nervous system and special senses
Z46.3 Encounter for fitting and adjustment of dental prosthetic device
Z46.4 Encounter for fitting and adjustment of orthodontic device
Z46.5 Encounter for fitting and adjustment of other gastrointestinal appliance and device
Z46.51 Encounter for fitting and adjustment of gastric lap band
Z46.59 Encounter for fitting and adjustment of other gastrointestinal appliance and device
Z46.6 Encounter for fitting and adjustment of urinary device
Z46.8 Encounter for fitting and adjustment of other specified devices
Z46.81 Encounter for fitting and adjustment of insulin pump

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