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).

What cannot be coded together with H53.131?

H53.131 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H53.131 (H53.1) and apply to it just the same.

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.

Excludes1 inherited from the categories above H53.131

These are not written on H53.131, but they bind it: a note on a category applies to every code beneath it. Billing H53.131 with anything listed here is a denial.

Written on H53.1 — Subjective visual disturbances

subjective visual disturbances due to vitamin A deficiency (E50.5)
visual hallucinations (R44.1)

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

Code history

H53.131 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

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).
What cannot be coded together with H53.131?: H53.131 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H53.131 (H53.1) and apply to it just the same.