H53.16

H53.16: Psychophysical visual disturbances

Billable / specific codeICD-10-CM

H53.16 is a billable, specific ICD-10-CM code for psychophysical visual disturbances. It is valid for submission on a claim.

Check H53.16 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H53.16

A category’s note binds every code beneath it.

Written on H53.1: Subjective visual disturbances

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H53.16 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
A56505Billing and Coding: Transesophageal Echocardiography (TEE)
A56551Billing and Coding: Visual Fields Testing
A56672Billing and Coding: Electroretinography (ERG)

Alphabetic index entries that lead here

Blindness›face
Disturbance›psychophysical visual
Disturbance›vision, visual›psychophysical

Code history

Unchanged in every release from FY2024 to FY2027.