2021 ICD-10-CM Codes for Blindness and low vision (H54)

Clinical Terms for Blindness and low vision (H54)

Blindness-. The inability to see or the loss or absence of perception of visual stimuli. This condition may be the result of EYE DISEASES; OPTIC NERVE DISEASES; OPTIC CHIASM diseases; or BRAIN DISEASES affecting the VISUAL PATHWAYS or OCCIPITAL LOBE.

Low Vision-. Vision considered to be inferior to normal vision as represented by accepted standards of acuity, field of vision, or motility. Low vision generally refers to visual disorders that are caused by diseases that cannot be corrected by refraction (e.g., MACULAR DEGENERATION; RETINITIS PIGMENTOSA; DIABETIC RETINOPATHY, etc.).

Instructional Notations

Code First Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.

  • any associated underlying cause of the blindness

Type 1 Excludes Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • For definition of visual impairment categories see table below
    • ICD-10 Index

      • Diseases of the eye and adnexa (H00–H59)

        • Visual disturbances and blindness (H53-H54)

            • Blindness and low vision (H54)
            • 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 r eye category 3, blindness left eye category 3 BILLABLE CODE
            • H54.0X34 - Blindness r eye category 3, blindness left eye category 4 BILLABLE CODE
            • H54.0X35 - Blindness r eye category 3, blindness left eye category 5 BILLABLE CODE
            • H54.0X4 - Blindness right eye, category 4 NON-BILLABLE CODE
            • H54.0X43 - Blindness r eye category 4, blindness left eye category 3 BILLABLE CODE
            • H54.0X44 - Blindness r eye category 4, blindness left eye category 4 BILLABLE CODE
            • H54.0X45 - Blindness r eye category 4, blindness left eye category 5 BILLABLE CODE
            • H54.0X5 - Blindness right eye, category 5 NON-BILLABLE CODE
            • H54.0X53 - Blindness r eye category 5, blindness left eye category 3 BILLABLE CODE
            • H54.0X54 - Blindness r eye category 5, blindness left eye category 4 BILLABLE CODE
            • H54.0X55 - Blindness r 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 r eye category 3, low vision left eye category 1 BILLABLE CODE
            • H54.1132 - Blindness r 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 r eye category 4, low vision left eye category 1 BILLABLE CODE
            • H54.1142 - Blindness r 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 r eye category 5, low vision left eye category 1 BILLABLE CODE
            • H54.1152 - Blindness r 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 r eye category 1, blindness left eye category 3 BILLABLE CODE
            • H54.1214 - Low vision r eye category 1, blindness left eye category 4 BILLABLE CODE
            • H54.1215 - Low vision r 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 r eye category 2, blindness left eye category 3 BILLABLE CODE
            • H54.1224 - Low vision r eye category 2, blindness left eye category 4 BILLABLE CODE
            • H54.1225 - Low vision r 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 r eye category 1, low vision left eye category 1 BILLABLE CODE
            • H54.2X12 - Low vision r 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 r eye category 2, low vision left eye category 1 BILLABLE CODE
            • H54.2X22 - Low vision r 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
            • H54.414A - Blindness right eye category 4, normal vision left eye BILLABLE CODE
            • H54.415 - Blindness, right eye, category 5 NON-BILLABLE CODE
            • H54.415A - Blindness right eye category 5, normal vision left eye BILLABLE CODE
            • H54.42 - Blindness, left eye, normal vision right eye NON-BILLABLE CODE
            • H54.42A - Blindness, left eye, category 3-5 NON-BILLABLE CODE
            • H54.42A3 - Blindness left eye category 3, normal vision right eye BILLABLE CODE
            • H54.42A4 - Blindness left eye category 4, normal vision right eye BILLABLE CODE
            • H54.42A5 - Blindness left eye category 5, normal vision right eye BILLABLE CODE
            • H54.5 - Low vision, one eye NON-BILLABLE CODE
            • H54.50 - Low vision, one eye, unspecified eye BILLABLE CODE
            • H54.51 - Low vision, right eye, normal vision left eye NON-BILLABLE CODE
            • H54.511 - Low vision, right eye, category 1-2 NON-BILLABLE CODE
            • H54.511A - Low vision right eye category 1, normal vision left eye BILLABLE CODE
            • H54.512A - Low vision right eye category 2, normal vision left eye BILLABLE CODE
            • H54.52 - Low vision, left eye, normal vision right eye NON-BILLABLE CODE
            • H54.52A - Low vision, left eye, category 1-2 NON-BILLABLE CODE
            • H54.52A1 - Low vision left eye category 1, normal vision right eye BILLABLE CODE
            • H54.52A2 - Low vision left eye category 2, normal vision right eye BILLABLE CODE
            • H54.6 - Unqualified visual loss, one eye NON-BILLABLE CODE
            • H54.60 - Unqualified visual loss, one eye, unspecified BILLABLE CODE
            • H54.61 - Unqualified visual loss, right eye, normal vision left eye BILLABLE CODE
            • H54.62 - Unqualified visual loss, left eye, normal vision right eye BILLABLE CODE
            • H54.7 - Unspecified visual loss BILLABLE CODE
            • H54.8 - Legal blindness, as defined in USA BILLABLE CODE