2026 ICD-10-CM Diagnosis Code H54.7Unspecified visual loss

ICD-10-CM CodesH00–H59H53-H54H54

ICD-10-CM H54.7
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H54.7 is a billable ICD-10-CM diagnosis code for unspecified visual loss. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. The code is not accepted as a principal diagnosis by the Medicare Code Editor. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Blindness and vision defects.

Code Identity

ICD-10-CM Code
H54.7
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified visual loss
Short Description
Unspecified visual loss
Same as the full description in the CMS dataset.
Parent Code
Blindness and low vision

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH53-H54Visual disturbances and blindness
CategoryH54Blindness and low vision
This CodeH54.7Unspecified visual loss

Code EditsBilling

Medicare Code Editor checks that affect claim validity for H54.7.

There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • 1/24
  • 1/36
  • 1/60 corrected visual acuity of left eye
  • 1/60 corrected visual acuity of right eye
  • 2/60 corrected visual acuity of left eye
  • 2/60 corrected visual acuity of right eye
  • 20/120
  • 20/1200
  • 20/25
  • 20/400
  • 3/12
  • 3/18
  • 3/24
  • 3/36
  • 3/4
  • 3/6
  • 3/60 visual acuity of left eye
  • 3/60 visual acuity of right eye
  • 3/9
  • 4/60 corrected visual acuity of left eye
  • 4/60 corrected visual acuity of right eye
  • 5/60 corrected visual acuity of left eye
  • 5/60 corrected visual acuity of right eye
  • 6/12 pinhole visual acuity of left eye
  • 6/12 pinhole visual acuity of right eye
  • 6/12 visual acuity of left eye
  • 6/12 visual acuity of right eye
  • 6/15 visual acuity of left eye
  • 6/15 visual acuity of right eye
  • 6/18 pinhole visual acuity of left eye
  • 6/18 pinhole visual acuity of right eye
  • 6/18 visual acuity of left eye
  • 6/18 visual acuity of right eye
  • 6/24 pinhole visual acuity of left eye
  • 6/24 pinhole visual acuity of right eye
  • 6/24 visual acuity of left eye
  • 6/24 visual acuity of right eye
  • 6/3
  • 6/3 corrected visual acuity of left eye
  • 6/36 pinhole visual acuity of left eye
  • 6/36 pinhole visual acuity of right eye
  • 6/36 visual acuity of left eye
  • 6/36 visual acuity of right eye
  • 6/45
  • 6/48 visual acuity of left eye
  • 6/48 visual acuity of right eye
  • 6/60 pinhole visual acuity of left eye
  • 6/60 pinhole visual acuity of right eye
  • 6/60 visual acuity of left eye
  • 6/60 visual acuity of right eye
  • 6/7.5 visual acuity of left eye
  • 6/7.5 visual acuity of right eye
  • 6/9 pinhole visual acuity of left eye
  • 6/9 pinhole visual acuity of right eye
  • 6/9 visual acuity of left eye
  • 6/9 visual acuity of right eye
  • Abnormal vision
  • After-cataract of bilateral eyes
  • After-cataract of left eye
  • After-cataract of right eye
  • Amaurosis
  • Amaurosis hypertrichosis syndrome
  • Angiomatous nevus impairing vision
  • Arts syndrome
  • Autosomal recessive spinocerebellar ataxia, blindness, deafness syndrome
  • Bilateral moderate to severe visual impairment
  • Bilateral visual impairment
  • Blind left eye
  • Blind right eye
  • Blindness - both eyes
  • Blindness AND/OR vision impairment level
  • Blindness, scoliosis, arachnodactyly syndrome
  • Cataract of lens capsule of bilateral eyes
  • Central visual impairment
  • Combined visual and hearing impairment
  • Congenital blindness
  • Cortical visual impairment
  • Counts fingers - 1/2 meter
  • Counts fingers - 1/3 meter
  • Counts fingers - distance vision
  • Deaf blind hypopigmentation syndrome Yemenite type
  • Dependence on seeing eye dog
  • Difficulty seeing small print
  • Dim vision
  • Distance vision 20/100
  • Distance vision 20/200
  • Distance vision 20/30
  • Distance vision 20/40
  • Distance vision 20/400
  • Distance vision 20/50
  • Distance vision 20/60
  • Distance vision 20/70
  • Distance vision 20/80
  • Distance vision 6/12
  • Distance vision 6/120
  • Distance vision 6/18
  • Distance vision 6/24
  • Distance vision 6/30
  • Distance vision 6/60
  • Distance vision 6/9
  • Drug related visual impairment
  • Early-onset progressive neurodegeneration, blindness, ataxia, spasticity syndrome
  • Ectodermal dysplasia with blindness syndrome
  • Functional visual loss
  • Growth and developmental delay, hypotonia, vision impairment, lactic acidosis syndrome
  • Impairment level of both eyes
  • Impairment level of vision
  • Impairment level: moderate impairment of both eyes
  • Impairment level: severe impairment of both eyes
  • Impairment level: total impairment of both eyes
  • J10
  • J11
  • J12
  • J13
  • J14
  • J3
  • J4
  • J5
  • J6
  • J7
  • J8
  • J9
  • Jaeger type 15
  • Left eye perceives light only
  • Left eye visual acuity -corrected
  • Low vision with AIDS
  • Low vision, both eyes
  • Mild visual impairment
  • Mildly reduced visual acuity
  • Moderate visual impairment
  • Multiple disability visual impairment
  • N10
  • N12
  • N14
  • N18
  • N24
  • N36
  • N48
  • N8
  • Noncompliance with medication regimen due to visual impairment
  • Olivopontocerebellar atrophy with blindness
  • Olivopontocerebellar degeneration
  • Only able to count fingers via pinhole with left eye
  • Only able to count fingers via pinhole with right eye
  • Only able to count fingers with left eye
  • Only able to count fingers with right eye
  • Only able to perceive light via pinhole with left eye
  • Only able to perceive light via pinhole with right eye
  • Partial sight - both eyes
  • Perceives light only
  • Perception of light - accurate projection
  • Perception of light - inaccurate projection
  • Progressive decrease in visual acuity
  • Reduced visual acuity
  • Registered blind
  • Registered partially sighted
  • Right eye perceives light only
  • Right eye visual acuity -corrected
  • Secondary cataract of bilateral eyes with vision obscured
  • Secondary cataract of left eye with vision obscured
  • Secondary cataract of right eye with vision obscured
  • Severe visual impairment
  • Sight deteriorating
  • Spontaneous eye movements associated with visual loss
  • Traumatic blindness
  • Unexplained visual loss
  • Visual acuity perception of light without projection
  • Visual acuity, no light perception
  • Visual impairment
  • Visual impairment co-occurrent with human immunodeficiency virus infection
  • Visual loss after cataract extraction

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Visual impairment category 9 NOS

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Decrease(d)
      • vision NEC
    • Defect, defective
      • vision NEC
    • Diminished, diminution
      • vision NEC
    • Impaired, impairment(function)
      • vision NEC
    • Loss(of)
      • vision, visual
    • Poor
      • vision NEC
    • Problem(with) (related to)
      • sight
    • Vision, visual
      • defect, defective NEC

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE010
Blindness and vision defects
Default principal diagnosis: inpatient No · 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 H54.7 to ICD-9-CMHistory

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

ICD-9-CM
369.9 Visual loss NOS
Approximate The match is approximate rather than exact.
ICD-9-CM
V41.0 Problems with sight
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 H54.7Overview

Is H54.7 (Blindness and low vision) a billable code?

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

What MS-DRG does H54.7 group to?

On inpatient claims, unspecified visual loss maps to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

Can H54.7 be a principal diagnosis?

No. The Medicare Code Editor rejects this code as a principal diagnosis because unspecified visual loss describes a circumstance that influences health status rather than a current illness. Report it as a secondary diagnosis.

What is the ICD-9 equivalent of H54.7?

Under the General Equivalence Mappings, unspecified visual loss converts to ICD-9-CM 369.9 (visual loss NOS) and V41.0 (problems with sight). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.