2027 ICD-10-CM Diagnosis Code H54.7Unspecified visual loss

ICD-10-CM Codes›H00–H59›H53-H54›H54

ICD-10-CM H54.7
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H54.7 is a billable ICD-10-CM diagnosis code for unspecified visual loss. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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
H54
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.

Unacceptable principal diagnosis
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
  • Combined visual and hearing impairment
  • Congenital blindness
  • Counts fingers - 1/2 meter
  • Counts fingers - 1/3 meter
  • Counts fingers - distance vision
  • Deaf blind hypopigmentation syndrome Yemenite type
  • Dependent on guide 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
  • Non-progressive 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
  • Progressive visual impairment
  • 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
  • Sudden loss of visual acuity
  • Traumatic blindness
  • Unexplained visual loss
  • Uses assistance dog
  • Uses guide dog for the blind
  • 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

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H54.7: its own notes plus those printed at H54 and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Visual impairment category 9 NOS

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From H54 Blindness and low vision applies to 44 codes

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Code First

The underlying condition named in the note is sequenced before this code.

From H54 Blindness and low vision applies to 44 codes
  • any associated underlying cause of the blindness

Notes

General instructions on how these codes are used.

From H54 Blindness and low vision applies to 44 codes
  • For definition of visual impairment categories see table below
From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name H54.7, its category, or a range that includes it.

Applicable To 1

These notes mention H54.7.

  • Z82.1 Family history of blindness and visual loss
    Conditions classifiable to H54.- names H54.-, which includes this code

Excludes1 1

These codes carry an Excludes1 note naming H54.7: they are not reported together with it, unless the two conditions are unrelated.

  • H54.8 Legal blindness, as defined in USA
    legal blindness with specification of impairment level (H54.0-H54.7) names H54.0-H54.7, which includes this code

Use Additional Code 1

These codes say to use an additional code from the note, and H54.7 is one of the codes named.

  • S04.0 Injury of optic nerve and pathways
    code to identify any visual field defect or blindness (H53.4-, H54.-) names H54.-, which includes this code

Notes 1

These notes mention H54.7.

  • H54.8 Legal blindness, as defined in USA
    The term 'low vision' in category H54 comprises categories 1 and 2 of the table, the term 'blindness' categories 3, 4 and 5, and the term 'unqualified visual loss' category 9. names H54, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H54.7Overview

What is the ICD-10 code for unspecified visual loss?

The ICD-10-CM code for unspecified visual loss is H54.7 (sometimes written as H547). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

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, 2026 through September 30, 2027.

What MS-DRG does H54.7 group to?

On inpatient claims, unspecified visual loss maps to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 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.

Can H54.7 be reported with G45.3?

Not as a rule. The Excludes1 note at H54, which applies to H54.7, lists "amaurosis fugax (G45.3)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).