ICD-10-CM Code H54.3

Unqualified visual loss, both eyes

Version 2021 Billable Code

Valid for Submission

H54.3 is a billable code used to specify a medical diagnosis of unqualified visual loss, both eyes. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code H54.3 might also be used to specify conditions or terms like better eye: low vision, lesser eye: profound visual impairment, better eye: low vision, lesser eye: profound visual impairment, bilateral acquired blindness of eyes, bilateral visual impairment, blind left eye, low vision right eye, blind or low vision - both eyes, etc

ICD-10:H54.3
Short Description:Unqualified visual loss, both eyes
Long Description:Unqualified visual loss, both eyes

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H54.3:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Visual impairment category 9 in both eyes.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code H54.3 are found in the index:


Synonyms

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

  • Better eye: low vision, Lesser eye: profound visual impairment
  • Better eye: low vision, Lesser eye: profound visual impairment
  • Bilateral acquired blindness of eyes
  • Bilateral visual impairment
  • Blind left eye, low vision right eye
  • Blind or low vision - both eyes
  • Blind right eye, low vision left eye
  • Blind telephone user
  • Blindness - both eyes
  • Blindness due to type 1 diabetes mellitus
  • Blindness due to type 2 diabetes mellitus
  • Combined visual and hearing impairment
  • Complete deafness
  • Difficulty performing telephone activities
  • Difficulty using telephone
  • Impairment level of both eyes
  • Impairment level: better eye: moderate impairment: lesser eye: near-total impairment
  • Impairment level: better eye: moderate impairment: lesser eye: not further specified
  • Impairment level: better eye: moderate impairment: lesser eye: profound impairment
  • Impairment level: better eye: moderate impairment: lesser eye: severe impairment
  • Impairment level: better eye: profound impairment: lesser eye: not further specified
  • Impairment level: better eye: severe impairment: lesser eye: not further specified
  • Impairment level: better eye: severe impairment: lesser eye: profound impairment
  • Impairment level: near-total impairment of both eyes
  • Impairment level: one eye: moderate impairment: other eye: near-normal vision
  • Impairment level: one eye: near-total impairment: other eye: not specified
  • Impairment level: one eye: profound impairment: other eye: near-normal vision
  • Impairment level: one eye: total impairment: other eye: near-normal vision
  • Impairment level: profound impairment of both eyes
  • One eye blind, one eye low vision
  • One eye blind, one eye low vision
  • Partial sight - both eyes
  • Total visual and total hearing impairment

Diagnostic Related Groups

The ICD-10 code H54.3 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2021.

  • 124 - OTHER DISORDERS OF THE EYE WITH MCC
  • 125 - OTHER DISORDERS OF THE EYE WITHOUT MCC

Convert H54.3 to ICD-9

  • 369.3 - Blindness NOS, both eyes

Code Classification

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

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Vision Impairment and Blindness

Also called: Low vision

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

  • Blindness and vision loss (Medical Encyclopedia)
  • Home vision tests (Medical Encyclopedia)
  • Living with vision loss (Medical Encyclopedia)
  • Vision - night blindness (Medical Encyclopedia)
  • Vision problems (Medical Encyclopedia)

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