H53.461
H53.461 — Homonymous bilateral field defects, right side
Billable / specific codeICD-10-CMbilateral
H53.461 is a billable, specific ICD-10-CM code for homonymous bilateral field defects, right side. It is valid for submission on a claim.
Risk adjustment
H53.461 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
H53.461 is named in 24 Medicare coverage policies — 24 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share H53.46. If H53.461 is not quite right, the correct code is usually one of these.
Questions about H53.461
- Is H53.461 a billable ICD-10-CM code?
- Yes. H53.461 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H53.461 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).