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ICD Hub / Factors influencing health status or contact with health services (Z00–Z99) / QA00.6 - Examination of eyes or vision
ICD-11

ICD-11 Codes
for QA00.6 - Examination of eyes or vision
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
Use Code

The examination of eyes or vision, classified under ICD-11 code QA00.6, is commonly referred to by various terms in clinical practice and by patients. These include: * Eye exam * Vision test * Sight examination * Routine eye check * Visual screening * Ophthalmological examination (for general purposes)

The Purpose and Scope of an Eye Examination

An examination of eyes or vision, identified by the ICD-11 code QA00.6, serves as a crucial preventive health measure. This type of encounter is typically for routine vision screening, assessing visual acuity, and checking the overall health of the eyes. It is not for diagnosing a specific eye disease but rather for general assessment and early detection of potential issues. The scope can include basic visual field tests, colour vision checks, and assessment for refractive errors.

When to Seek Medical Advice for Vision Concerns

While the ICD-11 code QA00.6 represents a general examination, patients should seek prompt medical advice if they experience specific vision concerns. Symptoms such as sudden blurred vision, double vision (diplopia), persistent eye pain, flashes of light, floaters, or a noticeable loss of visual field warrant a dedicated medical evaluation. These symptoms may indicate underlying conditions that require specific diagnosis and management beyond a routine examination.

Understanding the ICD-11 Code QA00.6: Examination of Eyes or Vision

The ICD-11 code QA00.6, officially designated as "Examination of eyes or vision," falls under the category of general examinations for individuals without a current complaint or reported diagnosis. This classification is used when a person contacts health services for the purpose of an examination or investigation related to their eyes or vision, rather than for a specific illness or injury. It signifies a routine check or screening of visual health status.

Is the ICD-11 Code QA00.6 Billable or Reportable?

The ICD-11 code QA00.6, "Examination of eyes or vision," is generally reportable and can be billable when it represents a medically necessary service, such as a routine preventive health examination or a screening. Its billability often depends on payer policies, the patient's insurance plan, and whether the examination is part of a covered benefit. Specific documentation supporting the reason for the examination is crucial for successful reimbursement.

Documentation and Coding Considerations for Eye Examinations

For healthcare providers, accurately documenting and coding eye examinations is essential. The ICD-11 code QA00.6 is used for general examinations of eyes or vision when no specific diagnosis is made. If the examination reveals specific findings, more precise ICD-11 codes may apply, such as QA00.61 (Normal Visual Field) or QA00.62 (No vision impairment). For unspecified or other specified examinations, codes like QA00.6Z (Examination of eyes or vision, unspecified) or QA00.6Y (Other specified examination of eyes or vision) might be used. Proper documentation supports medical necessity for billing and reporting purposes.

Frequently asked questions

What is the classification meaning of ICD-11 code QA00.6?
ICD-11 code QA00.6 represents the examination of eyes or vision.
What are the specific subcategories within ICD-11 code QA00.6 for examination of eyes or vision?
The specific subcategories include Normal Visual Field (QA00.61), No vision impairment (QA00.62), Other specified examination of eyes or vision (QA00.6Y), and Examination of eyes or vision, unspecified (QA00.6Z).
Under what circumstances is the unspecified category QA00.6Z used for examination of eyes or vision in ICD-11?
The unspecified category QA00.6Z is used when the details of the examination of eyes or vision are not further specified.
How is an examination of eyes or vision for a driving license classified in ICD-11, distinct from general examination codes?
An examination of eyes or vision specifically for a driving license is classified under ICD-11 code QA01.4.
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