H54.0
H54.0 — Blindness, both eyes
Non-billable headerICD-10-CM
H54.0 is a non-billable header ICD-10-CM code for blindness, both eyes. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Visual impairment categories 3, 4, 5 in both eyes.
Other codes that can never be billed with H54.0
These codes carry an Excludes1 note pointing at H54.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H54.0 alone.
- H54.8Legal blindness, as defined in USA
Risk adjustment
H54.0 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 H54.0
1 child code. Green means billable.
Related codes at this level
Codes that share H54. If H54.0 is not quite right, the correct code is usually one of these.
Questions about H54.0
- Is H54.0 a billable ICD-10-CM code?
- No. H54.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does H54.0 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).