H54.42A5
H54.42A5: Blindness left eye category 5, normal vision right eye
Billable / specific codeICD-10-CMright
H54.42A5 is a billable, specific ICD-10-CM code for blindness left eye category 5, normal vision right eye. It is valid for submission on a claim.
Check H54.42A5 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H54.42A5 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56551Billing and Coding: Visual Fields Testing
- A56672Billing and Coding: Electroretinography (ERG)
Code history
Unchanged in every release from FY2024 to FY2027.