2020 ICD-10-CM Diagnosis Code H54.3

Unqualified visual loss, both eyes

    2016 2017 2018 2019 2020 Billable/Specific Code
  • H54.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM H54.3 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of H54.3 - other international versions of ICD-10 H54.3 may differ.
Applicable To
  • Visual impairment category 9 in both eyes.
The following code(s) above H54.3 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 H54.3:
  • H00-H59
    2020 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 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
  • Bilateral visual impairment
  • Blind or low vision - both eyes
  • Impairment level: better eye: moderate impairment: lesser eye: not further specified
  • Moderate impaired vision better eye
  • Unqualified visual loss, bilateral
  • Visual impairment, both eyes
ICD-10-CM H54.3 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 124 Other disorders of the eye with mcc
  • 125 Other disorders of the eye without mcc

Convert H54.3 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

Diagnosis Index entries containing back-references to H54.3:
  • Impaired, impairment (function)
    • vision NEC H54.7
      ICD-10-CM Diagnosis Code H54.7

      Unspecified visual loss

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Visual impairment category 9 NOS
      • both eyes H54.3
  • Loss (of)
    • vision, visual H54.7
      ICD-10-CM Diagnosis Code H54.7

      Unspecified visual loss

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Visual impairment category 9 NOS
      • both eyes H54.3

ICD-10-CM Codes Adjacent To H54.3
H54.1224 …… category 4
H54.1225 …… category 5
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
H54.4 Blindness, one eye
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

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