H54.512A — Low vision right eye category 2, normal vision left eye
H54.512A is a billable, specific ICD-10-CM code for low vision right eye category 2, normal vision left eye. It is valid for submission on a claim.
Risk adjustment
H54.512A 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
H54.512A 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)
How H54.512A is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H54.512A.
- Low›vision›one eye›right›category 2
Questions about H54.512A
- Is H54.512A a billable ICD-10-CM code?
- Yes. H54.512A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H54.512A sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).