Is H53.6 a billable ICD-10-CM code?

No. H53.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H53.6 sit in the tabular list?

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

What cannot be coded together with H53.6?

H53.6 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

H53.6

H53.6 — Night blindness

Non-billable headerICD-10-CM

H53.6 is a non-billable header ICD-10-CM code for night blindness. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

night blindness due to vitamin A deficiency (E50.5)

Risk adjustment

H53.6 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 H53.6

5 child codes. Green means billable.

Related codes at this level

Codes that share H53. If H53.6 is not quite right, the correct code is usually one of these.

Questions about H53.6

Is H53.6 a billable ICD-10-CM code?: No. H53.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H53.6 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).
What cannot be coded together with H53.6?: H53.6 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.