Is H53.4 a billable ICD-10-CM code?

No. H53.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H53.4 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).

H53.4

H53.4 — Visual field defects

Non-billable headerICD-10-CM

H53.4 is a non-billable header ICD-10-CM code for visual field defects. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H53.4 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.

Code to one of these instead H53.4

8 child codes. Green means billable.

H53.40Unspecified visual field defects
H53.41Scotoma involving central area
H53.42Scotoma of blind spot area
H53.43Sector or arcuate defects
H53.45Other localized visual field defect
H53.46Homonymous bilateral field defects
H53.47Heteronymous bilateral field defects
H53.48Generalized contraction of visual field

Related codes at this level

Codes that share H53. If H53.4 is not quite right, the correct code is usually one of these.

H53.0Amblyopia ex anopsia
H53.1Subjective visual disturbances
H53.2Diplopia
H53.3Other and unspecified disorders of binocular vision
H53.5Color vision deficiencies
H53.6Night blindness
H53.7Vision sensitivity deficiencies
H53.8Other visual disturbances
H53.9Unspecified visual disturbance

Questions about H53.4

Is H53.4 a billable ICD-10-CM code?: No. H53.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H53.4 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).