Is H54.52A a billable ICD-10-CM code?

No. H54.52A is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H54.52A sit in the tabular list?

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

H54.52A

H54.52A — Low vision, left eye, category 1-2

Non-billable headerICD-10-CMleft

H54.52A is a non-billable header ICD-10-CM code for low vision, left eye, category 1-2. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H54.52A 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 H54.52A

2 child codes. Green means billable.

H54.52A1Low vision left eye category 1, normal vision right eye
H54.52A2Low vision left eye category 2, normal vision right eye

Questions about H54.52A

Is H54.52A a billable ICD-10-CM code?: No. H54.52A is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H54.52A sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).