2022 ICD-10-CM Code H54.40
Blindness, one eye, unspecified eye
Valid for Submission
| ICD-10: | H54.40 |
| Short Description: | Blindness, one eye, unspecified eye |
| Long Description: | Blindness, one eye, unspecified eye |
Code Classification
H54.40 is a billable diagnosis code used to specify a medical diagnosis of blindness, one eye, unspecified eye. The code H54.40 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code H54.40 might also be used to specify conditions or terms like blind hypertensive eye, pain in eye or painful blind eye.
Unspecified diagnosis codes like H54.40 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.
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 H54.40 are found in the index:
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Blind hypertensive eye
- Pain in eye
- Painful blind eye
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code H54.40 is grouped in the following groups for version MS-DRG V39.0 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 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | 02 | 1.3988 |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | 02 | 0.8354 |
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 H54.40 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code H54.40 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 369.02 - One eye-near tot/oth-NOS (Approximate Flag)
- 369.05 - One eye-profound/oth-NOS (Approximate Flag)
- 369.60 - Blindness, one eye (Approximate Flag)
- 369.61 - One eye-total/oth-unknwn (Approximate Flag)
- 369.64 - One eye-near tot/oth-NOS (Approximate Flag)
- 369.66 - Near-total impair/normal (Approximate Flag)
- 369.67 - One eye-prfound/oth-unkn (Approximate Flag)
Information for Patients
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]
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)