H54
H54: Blindness and low vision
Non-billable headerICD-10-CM
H54 is a non-billable header ICD-10-CM code for blindness and low vision. 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.
- amaurosis fugax (G45.3)
Code first
The underlying condition must be sequenced before this code.
- any associated underlying cause of the blindness
Notes
Additional guidance from the ICD-10-CM tabular list.
- For definition of visual impairment categories see table below
Other codes that can never be billed with H54
Their own Excludes1 notes name this code, so the conflict is not listed above.
- H54.8Legal blindness, as defined in USA
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead H54
9 child codes. Green means billable.