Is H54.511 a billable ICD-10-CM code?

No. H54.511 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H54.511 sit in the tabular list?

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

H54.511

H54.511 — Low vision, right eye, category 1

Non-billable headerICD-10-CMright

H54.511 is a non-billable header ICD-10-CM code for low vision, right eye, category 1. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H54.511 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 H54.511

1 child code. Green means billable.

H54.511ALow vision right eye category 1, normal vision left eye

Related codes at this level

Codes that share H54.51. If H54.511 is not quite right, the correct code is usually one of these.

H54.512Low vision, right eye, category 2

Questions about H54.511

Is H54.511 a billable ICD-10-CM code?: No. H54.511 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H54.511 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).