H53.131
H53.131 — Sudden visual loss, right eye
Billable / specific codeICD-10-CMright
H53.131 is a billable, specific ICD-10-CM code for sudden visual loss, right eye. It is valid for submission on a claim.
Risk adjustment
H53.131 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
H53.131 is named in 29 Medicare coverage policies — 29 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
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56505Billing and Coding: Transesophageal Echocardiography (TEE)
- A56551Billing and Coding: Visual Fields Testing
Related codes at this level
Codes that share H53.13. If H53.131 is not quite right, the correct code is usually one of these.
Questions about H53.131
- Is H53.131 a billable ICD-10-CM code?
- Yes. H53.131 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H53.131 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).