H54.0X53
H54.0X53 — Blindness right eye category 5, blindness left eye category 3
Billable / specific codeICD-10-CMright
H54.0X53 is a billable, specific ICD-10-CM code for blindness right eye category 5, blindness left eye category 3. It is valid for submission on a claim.
Risk adjustment
H54.0X53 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.
Medicare coverage
H54.0X53 is named in 13 Medicare coverage policies — 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56551Billing and Coding: Visual Fields Testing
- A56672Billing and Coding: Electroretinography (ERG)
Related codes at this level
Codes that share H54.0X5. If H54.0X53 is not quite right, the correct code is usually one of these.
Questions about H54.0X53
- Is H54.0X53 a billable ICD-10-CM code?
- Yes. H54.0X53 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H54.0X53 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).