Version 2024

2024 ICD-10-CM Diagnosis Code H54.7

Unspecified visual loss

ICD-10-CM Code:: H54.7
ICD-10 Code for:: Unspecified visual loss
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Chronic
Code Navigator:

Code Information
Approximate Synonyms
Clinical Classification
Tabular List of Diseases and Injuries
Index to Diseases and Injuries References
Code Edits
Diagnostic Related Groups Mapping
Convert to ICD-9 Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Diseases of the eye and adnexa
(H00–H59)
- Visual disturbances and blindness
  (H53-H54)
  - Blindness and low vision
    (H54)

H54.7 is a billable diagnosis code used to specify a medical diagnosis of unspecified visual loss. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

Unspecified diagnosis codes like H54.7 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

1/24
1/36
1/60 corrected visual acuity of left eye
1/60 corrected visual acuity of right eye
2/60 corrected visual acuity of left eye
2/60 corrected visual acuity of right eye
20/120
20/1200
20/25
20/25
20/400
3/12
3/18
3/24
3/36
3/4
3/6
3/60 visual acuity of left eye
3/60 visual acuity of right eye
3/9
4/60 corrected visual acuity of left eye
4/60 corrected visual acuity of right eye
5/60 corrected visual acuity of left eye
5/60 corrected visual acuity of right eye
6/12 pinhole visual acuity of left eye
6/12 pinhole visual acuity of right eye
6/12 visual acuity of left eye
6/12 visual acuity of right eye
6/15 visual acuity of left eye
6/15 visual acuity of right eye
6/18 pinhole visual acuity of left eye
6/18 pinhole visual acuity of right eye
6/18 visual acuity of left eye
6/18 visual acuity of right eye
6/24 pinhole visual acuity of left eye
6/24 pinhole visual acuity of right eye
6/24 visual acuity of left eye
6/24 visual acuity of right eye
6/3
6/3 corrected visual acuity of left eye
6/36 pinhole visual acuity of left eye
6/36 pinhole visual acuity of right eye
6/36 visual acuity of left eye
6/36 visual acuity of right eye
6/45
6/48 visual acuity of left eye
6/48 visual acuity of right eye
6/60 pinhole visual acuity of left eye
6/60 pinhole visual acuity of right eye
6/60 visual acuity of left eye
6/60 visual acuity of right eye
6/7.5 visual acuity of left eye
6/7.5 visual acuity of right eye
6/9 pinhole visual acuity of left eye
6/9 pinhole visual acuity of right eye
6/9 visual acuity of left eye
6/9 visual acuity of right eye
Abnormal vision
After-cataract of bilateral eyes
After-cataract of left eye
After-cataract of right eye
Amaurosis
Amaurosis hypertrichosis syndrome
Angiomatous nevus impairing vision
Arts syndrome
Autosomal recessive spinocerebellar ataxia, blindness, deafness syndrome
Bilateral moderate to severe visual impairment
Bilateral visual impairment
Blind left eye
Blind right eye
Blindness - both eyes
Blindness AND/OR vision impairment level
Blindness, scoliosis, arachnodactyly syndrome
Cataract of lens capsule of bilateral eyes
Central visual impairment
Combined visual and hearing impairment
Congenital blindness
Cortical visual impairment
Counts fingers - 1/2 meter
Counts fingers - 1/3 meter
Counts fingers - distance vision
Counts fingers - distance vision
Counts fingers - distance vision
Counts fingers - distance vision
Counts fingers - distance vision
Counts fingers - distance vision
Deaf blind hypopigmentation syndrome Yemenite type
Dependence on seeing eye dog
Difficulty seeing small print
Dim vision
Distance vision 20/100
Distance vision 20/200
Distance vision 20/30
Distance vision 20/40
Distance vision 20/400
Distance vision 20/50
Distance vision 20/60
Distance vision 20/70
Distance vision 20/80
Distance vision 6/12
Distance vision 6/120
Distance vision 6/18
Distance vision 6/24
Distance vision 6/30
Distance vision 6/60
Distance vision 6/9
Drug related visual impairment
Early-onset progressive neurodegeneration, blindness, ataxia, spasticity syndrome
Ectodermal dysplasia with blindness syndrome
Functional visual loss
Growth and developmental delay, hypotonia, vision impairment, lactic acidosis syndrome
Heide syndrome
Impairment level of both eyes
Impairment level of both eyes
Impairment level of both eyes
Impairment level of both eyes
Impairment level of vision
Impairment level: moderate impairment of both eyes
Impairment level: severe impairment of both eyes
Impairment level: total impairment of both eyes
J10
J11
J12
J13
J14
J3
J4
J5
J6
J7
J8
J9
Jaeger type 15
Left eye perceives light only
Left eye visual acuity -corrected
Low vision with AIDS
Low vision, both eyes
Medication non-compliance due to visual impairment
Mild visual impairment
Moderate visual impairment
Multiple disability visual impairment
N10
N12
N14
N18
N24
N36
N48
N8
Non-compliance of drug therapy
Olivopontocerebellar atrophy with blindness
Olivopontocerebellar degeneration
Only able to count fingers via pinhole with left eye
Only able to count fingers via pinhole with right eye
Only able to count fingers with left eye
Only able to count fingers with right eye
Only able to perceive light via pinhole with left eye
Only able to perceive light via pinhole with right eye
Partial sight - both eyes
Perceives light only
Perception of light - accurate projection
Perception of light - inaccurate projection
Reduced visual acuity
Registered blind
Registered partially sighted
Right eye perceives light only
Right eye visual acuity -corrected
Secondary cataract of bilateral eyes with vision obscured
Secondary cataract of left eye with vision obscured
Secondary cataract of right eye with vision obscured
Severe visual impairment
Sight deteriorating
Spontaneous eye movements associated with visual loss
Traumatic blindness
Unexplained visual loss
Visual acuity, no light perception
Visual impairment
Visual impairment co-occurrent with human immunodeficiency virus infection
Visual loss after cataract extraction

Clinical Classification

Clinical Category is Blindness and vision defects
CCSR Category Code: EYE010
Inpatient Default CCSR: X - Not applicable.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.

Inclusion Terms

Visual impairment category 9 NOS

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

- Decrease (d)
- - vision NEC - H54.7

- Defect, defective - Q89.9
- - vision NEC - H54.7

- Diminished, diminution
- - vision NEC - H54.7

- Impaired, impairment (function)
- - vision NEC - H54.7

- Loss (of)
- - vision, visual - H54.7

- Poor
- - vision NEC - H54.7

- Problem (with) (related to)
- - sight - H54.7

- Vision, visual
- - defect, defective NEC - H54.7

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

H54.7 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	02	1.3219
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	02	0.7975

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert H54.7 to ICD-9-CM

ICD-9-CM Code: 369.9 - Visual loss NOS
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
ICD-9-CM Code: V41.0 - Problems with sight
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Vision Impairment and Blindness

If you have low vision, eyeglasses, contact lenses, medicine, or surgery may not help. Activities like reading, shopping, cooking, writing, and watching TV may be hard to do. The leading causes of low vision and blindness in the United States are age-related eye diseases: macular degeneration, cataract and glaucoma. Other eye disorders, eye injuries, and birth defects can also cause vision loss.

Whatever the cause, lost vision cannot be restored. It can, however, be managed. A loss of vision means that you may have to reorganize your life and learn new ways of doing things. If you have some vision, visual aids such as special glasses and large print books can make life easier. There are also devices to help those with no vision, like text-reading software and braille books.

The sooner vision loss or eye disease is found and treated, the greater your chances of keeping your remaining vision. You should have regular comprehensive eye exams by an eye care professional.

NIH: National Eye Institute

[Learn More in MedlinePlus]

Other ICD-10-CM Codes Commonly Used for Similar Conditions

Filter related codes list:

H54 Blindness and low vision.
H54.0 Blindness, both eyes.
H54.0X Blindness, both eyes, different category levels.
H54.0X3 Blindness right eye, category 3.
H54.0X33 Blindness right eye category 3, blindness left eye category 3.
H54.0X34 Blindness right eye category 3, blindness left eye category 4.
H54.0X35 Blindness right eye category 3, blindness left eye category 5.
H54.0X4 Blindness right eye, category 4.
H54.0X43 Blindness right eye category 4, blindness left eye category 3.
H54.0X44 Blindness right eye category 4, blindness left eye category 4.
H54.0X45 Blindness right eye category 4, blindness left eye category 5.
H54.0X5 Blindness right eye, category 5.
H54.0X53 Blindness right eye category 5, blindness left eye category 3.
H54.0X54 Blindness right eye category 5, blindness left eye category 4.
H54.0X55 Blindness right eye category 5, blindness left eye category 5.
H54.1 Blindness, one eye, low vision other eye.
H54.10 Blindness, one eye, low vision other eye, unspecified eyes.
H54.11 Blindness, right eye, low vision left eye.
H54.113 Blindness right eye category 3, low vision left eye.
H54.1131 Blindness right eye category 3, low vision left eye category 1.
H54.1132 Blindness right eye category 3, low vision left eye category 2.
H54.114 Blindness right eye category 4, low vision left eye.
H54.1141 Blindness right eye category 4, low vision left eye category 1.
H54.1142 Blindness right eye category 4, low vision left eye category 2.
H54.115 Blindness right eye category 5, low vision left eye.
H54.1151 Blindness right eye category 5, low vision left eye category 1.
H54.1152 Blindness right eye category 5, low vision left eye category 2.
H54.12 Blindness, left eye, low vision right eye.
H54.121 Low vision right eye category 1, blindness left eye.
H54.1213 Low vision right eye category 1, blindness left eye category 3.
H54.1214 Low vision right eye category 1, blindness left eye category 4.
H54.1215 Low vision right eye category 1, blindness left eye category 5.
H54.122 Low vision right eye category 2, blindness left eye.
H54.1223 Low vision right eye category 2, blindness left eye category 3.
H54.1224 Low vision right eye category 2, blindness left eye category 4.
H54.1225 Low vision right eye category 2, blindness left eye category 5.
H54.2 Low vision, both eyes.
H54.2X Low vision, both eyes, different category levels.
H54.2X1 Low vision, right eye, category 1.
H54.2X11 Low vision right eye category 1, low vision left eye category 1.
H54.2X12 Low vision right eye category 1, low vision left eye category 2.
H54.2X2 Low vision, right eye, category 2.
H54.2X21 Low vision right eye category 2, low vision left eye category 1.
H54.2X22 Low vision right eye category 2, low vision left eye category 2.
H54.3 Unqualified visual loss, both eyes.
H54.4 Blindness, one eye.
H54.40 Blindness, one eye, unspecified eye.
H54.41 Blindness, right eye, normal vision left eye.
H54.413 Blindness, right eye, category 3.
H54.413A Blindness right eye category 3, normal vision left eye.
H54.414 Blindness, right eye, category 4.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
The condition places limitations on self-care, independent living, and social interactions.