Z96.1 Presence of intraocular lens

Billable ICD-10-CM code, FY2026.

Applicable to

• Presence of pseudophakia

Applies from Z96 Presence of other functional implants

Excludes2 (not included here)

• complications of internal prosthetic devices, implants and grafts (T82-T85)
• fitting and adjustment of prosthetic and other devices (Z44-Z46)

MS-DRG index

Defines the logic of DRG(s) 124-125 in MDC 02.

Approximate ICD-9-CM (GEMs)

• V43.1 Lens replaced by other means

Medicare Code Edits (MCE v43.1 (April 2026))

• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to Z96.1

Back-references to Z96.1

• Type 1 Excludes: H27 Other disorders of lens ("pseudophakia (Z96.1)")
• Type 1 Excludes: H59 Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified ("pseudophakia (Z96.1)")
• Use Additional: Z98.4 Cataract extraction status ("code to identify intraocular lens implant status (Z96.1)")

Back-references to Z96

• Type 2 Excludes: M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified ("presence of functional implants and other devices (Z96-Z97)")
• Type 1 Excludes: Z18 Retained foreign body fragments ("organ or tissue replaced by means other than transplant (Z96.-, Z97.-)")
• Type 2 Excludes: Z46 Encounter for fitting and adjustment of other devices ("presence of prosthetic and other devices (Z95-Z97)")
• Type 2 Excludes: Z78 Other specified health status ("postprocedural status (Z93-Z99)")
• Type 2 Excludes: Z87.7 Personal history of (corrected) congenital malformations ("presence of other functional implants (Z96.-)")

Diagnosis Index entries for Z96.1

• Presence (of) › artificial › lens (intraocular)
• Presence (of) › implanted device (artificial) (functional) (prosthetic) › intraocular lens
• Presence (of) › intraocular lens (functional)
• Pseudophakia
• Replacement by artificial or mechanical device or prosthesis of › lens
• Status (post) › organ replacement › by artificial or mechanical device or prosthesis of › lens
• Status (post) › pseudophakia

Nearby codes

• Z96 Presence of other functional implants
• Z96.0 Presence of urogenital implants
• Z96.1 Presence of intraocular lens (this code)
• Z96.2 Presence of otological and audiological implants
• Z96.20 Presence of otological and audiological implant, unspecified
• Z96.21 Cochlear implant status
• Z96.22 Myringotomy tube(s) status
• Z96.29 Presence of other otological and audiological implants