2022 ICD-10-CM Diagnosis Code H54

Blindness and low vision

    2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
  • H54 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2022 edition of ICD-10-CM H54 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of H54 - other international versions of ICD-10 H54 may differ.
Note
  • For definition of visual impairment categories see table below
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, 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. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • any associated underlying cause of the blindness
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as H54. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • amaurosis fugax (
    ICD-10-CM Diagnosis Code G45.3

    Amaurosis fugax

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
    G45.3
    )
The following code(s) above H54 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:
  • H00-H59
    2022 ICD-10-CM Range H00-H59

    Diseases of the eye and adnexa

    Note
    • 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)
    Diseases of the eye and adnexa
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
  • 2022 (effective 10/1/2021): No change
Code annotations containing back-references to H54:
  • Note: H54.8
    ICD-10-CM Diagnosis Code H54.8

    Legal blindness, as defined in USA

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
    Applicable To
    • Blindness NOS according to USA definition
    Note
    • The table below gives a classification of severity of visual impairment recommended by a WHO Study Group on the Prevention of Blindness, Geneva, 6-10 November 1972.
    • 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.
    • If the extent of the visual field is taken into account, patients with a field no greater than 10 but greater than 5 around central fixation should be placed in category 3 and patients with a field no greater than 5 around central fixation should be placed in category 4, even if the central acuity is not impaired.
    Type 1 Excludes
    • legal blindness with specification of impairment level (H54.0-H54.7)
  • Applicable To: Z82.1
    ICD-10-CM Diagnosis Code Z82.1

    Family history of blindness and visual loss

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt
    Applicable To
    • Conditions classifiable to H54.-
  • Use Additional: S04.0
    ICD-10-CM Diagnosis Code S04.0

    Injury of optic nerve and pathways

      2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify any visual field defect or blindness (H53.4-, H54.-)
ICD-10-CM Codes Adjacent To H54
H53.60 Unspecified night blindness
H53.61 Abnormal dark adaptation curve
H53.62 Acquired night blindness
H53.63 Congenital night blindness
H53.69 Other night blindness
H53.7 Vision sensitivity deficiencies
H53.71 Glare sensitivity
H53.72 Impaired contrast sensitivity
H53.8 Other visual disturbances
H53.9 Unspecified visual disturbance
H54 Blindness and low vision
H54.0 Blindness, both eyes
H54.0X Blindness, both eyes, different category levels
H54.0X3 Blindness right eye, category 3
H54.0X33 Blindness right eye category 3, blindness left eye category 3
H54.0X34 Blindness right eye category 3, blindness left eye category 4
H54.0X35 Blindness right eye category 3, blindness left eye category 5
H54.0X4 Blindness right eye, category 4
H54.0X43 Blindness right eye category 4, blindness left eye category 3
H54.0X44 Blindness right eye category 4, blindness left eye category 4
H54.0X45 Blindness right eye category 4, blindness left eye category 5

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.