H53.54

H53.54: Protanomaly

Billable / specific codeICD-10-CM

H53.54 is a billable, specific ICD-10-CM code for protanomaly. It is valid for submission on a claim.

Check H53.54 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Protanopia

Excludes2 inherited from the categories above H53.54

Not part of this code, but both may be coded when both are present.

Written on H53.5: Color vision deficiencies

day blindness (H53.11)

Risk adjustment

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

Medicare coverage

H53.54 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
A56726Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
A57071Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)

Alphabetic index entries that lead here

Protanomaly(anomalous trichromat)
Protanopia(complete) (incomplete)
Deficiency, deficient›color vision›protanomaly

Code history

Unchanged in every release from FY2024 to FY2027.