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ICD-10-CM Codes
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H00-H59
Diseases of the eye and adnexa
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H53-H54
Visual disturbances and blindness
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H54-
Blindness and low vision
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2021 ICD-10-CM Diagnosis Code H54.40
2021 ICD-10-CM Diagnosis Code H54.40
Blindness, one eye, unspecified eye
2016 2017 2018 2019 2020 2021 Billable/Specific Code
- H54.40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2021 edition of ICD-10-CM H54.40 became effective on October 1, 2020.
- This is the American ICD-10-CM version of H54.40 - other international versions of ICD-10 H54.40 may differ.
The following code(s) above
H54.40 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
that may be applicable to
H54.40:
- H00-H59
2021 ICD-10-CM Range H00-H59
Diseases of the eye and adnexaNote- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Type 2 Excludes- 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)
- H54
ICD-10-CM Diagnosis Code H54
Blindness and low vision
2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
Code First- any associated underlying cause of the blindness
Note- For definition of visual impairment categories see table below
- H54.4
ICD-10-CM Diagnosis Code H54.4
Blindness, one eye
2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
Applicable To- Visual impairment categories 3, 4, 5 in one eye [normal vision in other eye]
- Blind hypertensive eye
- Blindness of one eye
- Blindness one eye
- Diabetes type 1 with blindness one eye
- Diabetes type 2 with blindness one eye
- Hypertensive blind eye
- Impairment level: one eye: near-total impairment: other eye: near-normal vision
- Impairment level: one eye: near-total impairment: other eye: normal vision
- Impairment level: one eye: near-total impairment: other eye: not specified
- Impairment level: one eye: profound impairment: other eye: near-normal vision
- Impairment level: one eye: profound impairment: other eye: normal vision
- Impairment level: one eye: severe impairment: other eye: near-normal vision
- Impairment level: one eye: severe impairment: other eye: normal vision
- Impairment level: one eye: severe impairment: other eye: not specified
- Impairment level: one eye: total impairment: other eye: not specified
- Lesser eye: total visual impairment, better eye: near normal vision
- Lesser eye: total visual impairment, better eye: normal vision
- Near total impaired vision one eye
- Near total impaired vision one eye, other eye normal
- One eye near total impairment, other eye near normal
- One eye profoundly impaired, other eye near normal
- One eye total impairment, other eye near normal vision
- One eye total impairment, other eye normal vision
- Profound impaired vision one eye
- Profound impaired vision one eye, other eye normal
- Profound impairment, one eye
- Severe impaired vision of one eye
- Severe impaired vision one eye, other eye near normal
- Severe impaired vision one eye, other eye normal
- Total impaired vision one eye
- Unilat blindness
- Unilateral blindness due to type 1 diabetes mellitus
- Unilateral blindness due to type 2 diabetes mellitus
ICD-10-CM H54.40 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
- 124 Other disorders of the eye with mcc
- 125 Other disorders of the eye without mcc
Convert H54.40 to ICD-9-CM
Code History
- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): No change
- 2020 (effective 10/1/2019): No change
- 2021 (effective 10/1/2020): No change
- Blindness (acquired) (congenital) (both eyes) H54.0X-
ICD-10-CM Diagnosis Code H54.0X-
Blindness, both eyes, different category levels
2018 - New Code 2019 2020 2021 Non-Billable/Non-Specific Code
ICD-10-CM Codes Adjacent To H54.40
H54.2 Low vision, both eyes
H54.2X Low vision, both eyes, different category levels
H54.2X1 Low vision, right eye, category 1
H54.2X11 Low vision right eye category 1, low vision left eye category 1
H54.2X12 Low vision right eye category 1, low vision left eye category 2
H54.2X2 Low vision, right eye, category 2
H54.2X21 Low vision right eye category 2, low vision left eye category 1
H54.2X22 Low vision right eye category 2, low vision left eye category 2
H54.3 Unqualified visual loss, both eyes
H54.40
…… unspecified eye
H54.41 Blindness, right eye, normal vision left eye
H54.413 Blindness, right eye, category 3
H54.413A Blindness right eye category 3, normal vision left eye
H54.414 Blindness, right eye, category 4
H54.414A Blindness right eye category 4, normal vision left eye
H54.415 Blindness, right eye, category 5
H54.415A Blindness right eye category 5, normal vision left eye
H54.42 Blindness, left eye, normal vision right eye
H54.42A Blindness, left eye, category 3-5
H54.42A3 Blindness left eye category 3, normal vision right eye
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
