H53.452
H53.452 — Other localized visual field defect, left eye
Billable / specific codeICD-10-CMleft
H53.452 is a billable, specific ICD-10-CM code for other localized visual field defect, left eye. It is valid for submission on a claim.
Risk adjustment
H53.452 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
H53.452 is named in 27 Medicare coverage policies — 27 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56551Billing and Coding: Visual Fields Testing
- A56612Billing and Coding: CT of the Head
Related codes at this level
Codes that share H53.45. If H53.452 is not quite right, the correct code is usually one of these.
Questions about H53.452
- Is H53.452 a billable ICD-10-CM code?
- Yes. H53.452 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H53.452 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).