H54.3

H54.3: Unqualified visual loss, both eyes

Billable / specific codeICD-10-CM

H54.3 is a billable, specific ICD-10-CM code for unqualified visual loss, both eyes. It is valid for submission on a claim.

Check H54.3 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Visual impairment category 9 in both eyes.

Excludes1 inherited from the categories above H54.3

A category’s note binds every code beneath it.

Written on H54: Blindness and low vision

amaurosis fugax (G45.3)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H54.3 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56551Billing and Coding: Visual Fields Testing
A56799Billing and Coding: Visual Fields Testing
A57060Billing and Coding: Visual Electrophysiology Testing
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Alphabetic index entries that lead here

Impaired, impairment›vision NEC›both eyes
Loss›vision, visual›both eyes

Code history

Unchanged in every release from FY2024 to FY2027.