Is H53.139 a billable ICD-10-CM code?

Yes. H53.139 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H53.139 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 H53.139?

H53.139 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 H53.139 (H53.1) and apply to it just the same.

H53.139

H53.139 — Sudden visual loss, unspecified eye

Billable / specific codeICD-10-CMunspecified

H53.139 is a billable, specific ICD-10-CM code for sudden visual loss, unspecified eye. It is valid for submission on a claim.

Excludes1 inherited from the categories above H53.139

These are not written on H53.139, but they bind it: a note on a category applies to every code beneath it. Billing H53.139 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

H53.139 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

H53.139 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56697Billing and Coding: Non-Invasive Vascular Studies
A57637Billing and Coding: Visual Field Examination
A57670Billing and Coding: Non-invasive Extracranial Arterial Studies
A58152Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP)

Code history

H53.139 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 H53.139 is not quite right, the correct code is usually one of these.

Questions about H53.139

Is H53.139 a billable ICD-10-CM code?: Yes. H53.139 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H53.139 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 H53.139?: H53.139 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 H53.139 (H53.1) and apply to it just the same.