2027 ICD-10-CM Diagnosis Code H53.001Unspecified amblyopia, right eye

ICD-10-CM Codes›H00–H59›H53-H54›H53

ICD-10-CM H53.001
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H53.001 is a billable ICD-10-CM diagnosis code for unspecified amblyopia, right eye. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. Coders also document this condition as amblyopia of right eye. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Blindness and vision defects.

Code Identity

ICD-10-CM Code
H53.001
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified amblyopia, right eye
Short Description
Unspecified amblyopia, right eye
Same as the full description in the CMS dataset.
Parent Code
H53.00
Unspecified amblyopia

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH53-H54Visual disturbances and blindness
CategoryH53Visual disturbances
This CodeH53.001Unspecified amblyopia, right eye

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Amblyopia of right eye

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H53.001: its own notes plus those printed at H53.0 and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From H53.0 Amblyopia ex anopsia applies to 20 codes
  • amblyopia due to vitamin A deficiency (E50.5)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Notes

General instructions on how these codes are used.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE010
Blindness and vision defects
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Amblyopia

    a nonspecific term referring to impaired vision. major subcategories include stimulus deprivation-induced amblyopia and toxic amblyopia. stimulus deprivation-induced amblyopia is a developmental disorder of the visual cortex. a discrepancy between visual information received by the visual cortex from each eye results in abnormal cortical development. strabismus and refractive errors may cause this condition. toxic amblyopia is a disorder of the optic nerve which is associated with alcoholism, tobacco smoking, and other toxins and as an adverse effect of the use of some medications.

Patient EducationClinical

Amblyopia

Amblyopia, or "lazy eye," is the most common cause of visual impairment in children. It happens when an eye fails to work properly with the brain. The eye may look normal, but the brain favors the other eye. In some cases, it can affect both eyes. Causes include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H53.001 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
368.00 Amblyopia NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H53.001Overview

What is the ICD-10 code for unspecified amblyopia, right eye?

The ICD-10-CM code for unspecified amblyopia, right eye is H53.001 (sometimes written as H53001). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H53.001 (Unspecified amblyopia) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified amblyopia, right eye on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H53.001 group to?

When unspecified amblyopia, right eye is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.

Can H53.001 be reported with E50.5?

Not as a rule. The Excludes1 note at H53.0, which applies to H53.001, lists "amblyopia due to vitamin A deficiency (E50.5)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of H53.001?

Under the General Equivalence Mappings, unspecified amblyopia, right eye converts to ICD-9-CM 368.00 (amblyopia NOS). The mapping is approximate, so confirm the match fits the documentation.