| H54.2X | Low vision, both eyes, different category levels | NON-BILLABLE CODE |
| H54.2X1 | Low vision, right eye, category 1 | NON-BILLABLE CODE |
| H54.2X11 | Low vision right eye category 1, low vision left eye category 1 | BILLABLE CODE |
| H54.2X12 | Low vision right eye category 1, low vision left eye category 2 | BILLABLE CODE |
| H54.2X2 | Low vision, right eye, category 2 | NON-BILLABLE CODE |
| H54.2X21 | Low vision right eye category 2, low vision left eye category 1 | BILLABLE CODE |
| H54.2X22 | Low vision right eye category 2, low vision left eye category 2 | BILLABLE CODE |
