2026 ICD-10-CM Diagnosis Code H53.453Other localized visual field defect, bilateral

ICD-10-CM Codes›H00–H59›H53-H54›H53

ICD-10-CM H53.453
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H53.453 is a billable ICD-10-CM diagnosis code for other localized visual field defect, bilateral. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). Coders also document this condition as nasal step visual field defect. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Blindness and vision defects.

Code Identity

ICD-10-CM Code
H53.453
Billable Status
Yes — Valid for Submission
Code Describes
Other localized visual field defect, bilateral
Short Description
Other localized visual field defect, bilateral
Same as the full description in the CMS dataset.
Parent Code
H53.45
Other localized visual field defect

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH53-H54Visual disturbances and blindness
CategoryH53Visual disturbances
This CodeH53.453Other localized visual field defect, bilateral

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Nasal step visual field defect
  • Nasal step visual field defect of bilateral eyes
  • Nasal step visual field defect of left eye
  • Nasal step visual field defect of right eye

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

Patient EducationClinical

Vision Impairment and Blindness

Vision impairment is the loss of vision. It includes blindness, which means that you have lost all or most of your sight. It also includes low vision, which means you have some vision, but the vision loss makes it hard to do everyday activities. You may have trouble reading, shopping, cooking, writing, and watching TV.

The full article covers:

  • What is vision impairment?
  • What causes vision impairment?
  • How is vision impairment diagnosed?
  • What are the types of low vision?
  • What are the treatments for low vision?
  • How can I make the most of my remaining sight?
  • Can vision impairment be prevented?

Read the full article at MedlinePlus

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

Convert H53.453 to ICD-9-CMHistory

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

ICD-9-CM
368.44 Visual field defect NEC
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H53.453Overview

Is H53.453 (Other localized visual field defect) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other localized visual field defect, bilateral on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of H53.453?

Under the General Equivalence Mappings, other localized visual field defect, bilateral converts to ICD-9-CM 368.44 (visual field defect NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.