H53.419
H53.419 — Scotoma involving central area, unspecified eye
Billable / specific codeICD-10-CMunspecified
H53.419 is a billable, specific ICD-10-CM code for scotoma involving central area, unspecified eye. It is valid for submission on a claim.
Risk adjustment
H53.419 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
H53.419 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57637Billing and Coding: Visual Field Examination
Related codes at this level
Codes that share H53.41. If H53.419 is not quite right, the correct code is usually one of these.
Questions about H53.419
- Is H53.419 a billable ICD-10-CM code?
- Yes. H53.419 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H53.419 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).