2027 ICD-10-CM Diagnosis Code H53.023Refractive amblyopia, bilateral

ICD-10-CM Codes›H00–H59›H53-H54›H53

ICD-10-CM H53.023
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H53.023 is a billable ICD-10-CM diagnosis code for refractive amblyopia, bilateral. 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 refractive amblyopia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Blindness and vision defects.

Code Identity

ICD-10-CM Code
H53.023
Billable Status
Yes — Valid for Submission
Code Describes
Refractive amblyopia, bilateral
Short Description
Refractive amblyopia, bilateral
Same as the full description in the CMS dataset.
Parent Code
H53.02
Refractive amblyopia

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH53-H54Visual disturbances and blindness
CategoryH53Visual disturbances
This CodeH53.023Refractive amblyopia, bilateral

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Refractive amblyopia
  • Refractive amblyopia of bilateral eyes
  • Refractive amblyopia of left eye
  • Refractive amblyopia of right eye

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H53.023: 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

  • Visual Disturbance

    an interference to normal eyesight.

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 H53.023 to ICD-9-CMHistory

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

ICD-9-CM
368.03 Refractive amblyopia
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 H53.023Overview

What is the ICD-10 code for refractive amblyopia, bilateral?

The ICD-10-CM code for refractive amblyopia, bilateral is H53.023 (sometimes written as H53023). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H53.023 (Refractive amblyopia) a billable code?

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

What MS-DRG does H53.023 group to?

When refractive amblyopia, bilateral 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 H53.023 be reported with E50.5?

Not as a rule. The Excludes1 note at H53.0, which applies to H53.023, 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 H53.023?

Under the General Equivalence Mappings, refractive amblyopia, bilateral converts to ICD-9-CM 368.03 (refractive amblyopia). The mapping is approximate, so confirm the match fits the documentation.