H54.42A4 - Blindness left eye category 4, normal vision right eye

Version 2023

ICD-10:	H54.42A4
Short Description:	Blindness left eye category 4, normal vision right eye
Long Description:	Blindness left eye category 4, normal vision right eye
Status:	Valid for Submission
Version:	ICD-10-CM 2023
Code Classification:	Diseases of the eye and adnexa (H00–H59) Visual disturbances and blindness (H53-H54) Blindness and low vision (H54)

1. Tabular List of Diseases and Injuries
2. Diagnostic Related Groups - MS-DRG Mapping
3. Replacement Code
4. Convert to ICD-9 Code
5. Patient Education
6. Related Codes Browser
7. Code History

H54.42A4 is a billable ICD-10 code used to specify a medical diagnosis of blindness left eye category 4, normal vision right eye. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.

Diagnostic Related Groups - MS-DRG Mapping

The is diagnosis code is grouped in the following groups for version MS-DRG V40.0 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 10/01/2022 through 09/30/2023.

MS-DRG	MS-DRG Title	MCD	Relative Weight
124	OTHER DISORDERS OF THE EYE WITH MCC	02	1.4007
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	02	0.8621

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.

Replacement Code

H5442A4 replaces the following previously assigned ICD-10 code(s):

H54.42 - Blindness, left eye, normal vision right eye

Convert to ICD-9 Code

Source ICD-10 Code		Target ICD-9 Code
H54.42A4		369.65 - Near-tot imp/near-normal
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
H54.42A4		369.66 - Near-total impair/normal
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Related Codes Browser

ICD Code	Description	Valid for Submission
H54	Blindness and low vision	NON-BILLABLE CODE
H54.0	Blindness, both eyes	NON-BILLABLE CODE
H54.0X	Blindness, both eyes, different category levels	NON-BILLABLE CODE
H54.0X3	Blindness right eye, category 3	NON-BILLABLE CODE
H54.0X33	Blindness right eye category 3, blindness left eye category 3	BILLABLE CODE
H54.0X34	Blindness right eye category 3, blindness left eye category 4	BILLABLE CODE
H54.0X35	Blindness right eye category 3, blindness left eye category 5	BILLABLE CODE
H54.0X4	Blindness right eye, category 4	NON-BILLABLE CODE
H54.0X43	Blindness right eye category 4, blindness left eye category 3	BILLABLE CODE
H54.0X44	Blindness right eye category 4, blindness left eye category 4	BILLABLE CODE
H54.0X45	Blindness right eye category 4, blindness left eye category 5	BILLABLE CODE
H54.0X5	Blindness right eye, category 5	NON-BILLABLE CODE
H54.0X53	Blindness right eye category 5, blindness left eye category 3	BILLABLE CODE
H54.0X54	Blindness right eye category 5, blindness left eye category 4	BILLABLE CODE
H54.0X55	Blindness right eye category 5, blindness left eye category 5	BILLABLE CODE
H54.1	Blindness, one eye, low vision other eye	NON-BILLABLE CODE
H54.10	Blindness, one eye, low vision other eye, unspecified eyes	BILLABLE CODE
H54.11	Blindness, right eye, low vision left eye	NON-BILLABLE CODE
H54.113	Blindness right eye category 3, low vision left eye	NON-BILLABLE CODE
H54.1131	Blindness right eye category 3, low vision left eye category 1	BILLABLE CODE
H54.1132	Blindness right eye category 3, low vision left eye category 2	BILLABLE CODE
H54.114	Blindness right eye category 4, low vision left eye	NON-BILLABLE CODE
H54.1141	Blindness right eye category 4, low vision left eye category 1	BILLABLE CODE
H54.1142	Blindness right eye category 4, low vision left eye category 2	BILLABLE CODE
H54.115	Blindness right eye category 5, low vision left eye	NON-BILLABLE CODE
H54.1151	Blindness right eye category 5, low vision left eye category 1	BILLABLE CODE
H54.1152	Blindness right eye category 5, low vision left eye category 2	BILLABLE CODE
H54.12	Blindness, left eye, low vision right eye	NON-BILLABLE CODE
H54.121	Low vision right eye category 1, blindness left eye	NON-BILLABLE CODE
H54.1213	Low vision right eye category 1, blindness left eye category 3	BILLABLE CODE
H54.1214	Low vision right eye category 1, blindness left eye category 4	BILLABLE CODE
H54.1215	Low vision right eye category 1, blindness left eye category 5	BILLABLE CODE
H54.122	Low vision right eye category 2, blindness left eye	NON-BILLABLE CODE
H54.1223	Low vision right eye category 2, blindness left eye category 3	BILLABLE CODE
H54.1224	Low vision right eye category 2, blindness left eye category 4	BILLABLE CODE
H54.1225	Low vision right eye category 2, blindness left eye category 5	BILLABLE CODE
H54.2	Low vision, both eyes	NON-BILLABLE CODE
H54.2X	Low vision, both eyes, different category levels	NON-BILLABLE CODE
H54.2X1	Low vision, right eye, category 1	NON-BILLABLE CODE
H54.2X11	Low vision right eye category 1, low vision left eye category 1	BILLABLE CODE
H54.2X12	Low vision right eye category 1, low vision left eye category 2	BILLABLE CODE
H54.2X2	Low vision, right eye, category 2	NON-BILLABLE CODE
H54.2X21	Low vision right eye category 2, low vision left eye category 1	BILLABLE CODE
H54.2X22	Low vision right eye category 2, low vision left eye category 2	BILLABLE CODE
H54.3	Unqualified visual loss, both eyes	BILLABLE CODE
H54.4	Blindness, one eye	NON-BILLABLE CODE
H54.40	Blindness, one eye, unspecified eye	BILLABLE CODE
H54.41	Blindness, right eye, normal vision left eye	NON-BILLABLE CODE
H54.413	Blindness, right eye, category 3	NON-BILLABLE CODE
H54.413A	Blindness right eye category 3, normal vision left eye	BILLABLE CODE
H54.414	Blindness, right eye, category 4	NON-BILLABLE CODE

Code History

FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
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

Previous Code: H54.42A3

Parent Code: H54.42A

Next Code: H54.42A5

Table of Contents

Diagnostic Related Groups - MS-DRG Mapping

Replacement Code

Convert to ICD-9 Code

Related Codes Browser

Code History