2021 ICD-10-CM Diagnosis Code H54.0

Blindness, both eyes

    2016 2017 2018 - Converted to Parent Code 2019 2020 2021 Non-Billable/Non-Specific Code
  • H54.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2021 edition of ICD-10-CM H54.0 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of H54.0 - other international versions of ICD-10 H54.0 may differ.
Applicable To
  • Visual impairment categories 3, 4, 5 in both eyes.
The following code(s) above H54.0 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 H54.0:
  • H00-H59
    2021 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
  • 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
    Type 1 Excludes
    Blindness and low vision
Approximate Synonyms
  • Blind hypertensive eye
  • Blindness - both eyes
  • Blindness due to type 1 diabetes mellitus
  • Blindness due to type 2 diabetes mellitus
  • Diabetes mellitus type 1 w complications
  • Diabetes mellitus type 2 w/ complications
  • Hypertensive blind eye
  • Impaired vision
  • Impaired vision, both eyes
  • Impairment level: better eye: near-total impairment: lesser eye: total impairment
  • Impairment level: better eye: profound impairment: lesser eye: near-total impairment
  • Impairment level: better eye: profound impairment: lesser eye: total impairment
  • Impairment level: near-total impairment of both eyes
  • Profound impaired vision one eye, other eye near total
  • Profound impaired vision one eye, other eye total
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): Deleted code
  • 2018 (effective 10/1/2017): New code
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to H54.0:
  • Type 1 Excludes: H54.8
    ICD-10-CM Diagnosis Code H54.8

    Legal blindness, as defined in USA

      2016 2017 2018 2019 2020 2021 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)
ICD-10-CM Codes Adjacent To H54.0
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
H54.0X5 Blindness right eye, category 5

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