Is H54.0X a billable ICD-10-CM code?

No. H54.0X is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H54.0X sit in the tabular list?

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

H54.0X

H54.0X — Blindness, both eyes, different category levels

Non-billable headerICD-10-CM

H54.0X is a non-billable header ICD-10-CM code for blindness, both eyes, different category levels. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H54.0X 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 H54.0X

3 child codes. Green means billable.

H54.0X3Blindness right eye, category 3
H54.0X4Blindness right eye, category 4
H54.0X5Blindness right eye, category 5

Questions about H54.0X

Is H54.0X a billable ICD-10-CM code?: No. H54.0X is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H54.0X sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).