H53.11 — Day blindness
H53.11 is a billable, specific ICD-10-CM code for day blindness. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hemeralopia
Risk adjustment
H53.11 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H53.11 is named in 13 Medicare coverage policies — 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
- A56505Billing and Coding: Transesophageal Echocardiography (TEE)
- A56551Billing and Coding: Visual Fields Testing
- A56672Billing and Coding: Electroretinography (ERG)
How H53.11 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H53.11.
- Hemeralopia(day blindness)
- Blindness›day
- Disturbance›vision, visual›subjective›day blindness
Related codes at this level
Codes that share H53.1. If H53.11 is not quite right, the correct code is usually one of these.
Questions about H53.11
- Is H53.11 a billable ICD-10-CM code?
- Yes. H53.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H53.11 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).