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).

What cannot be coded together with H54.52A?

H54.52A carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H54.52A (H54) and apply to it just the same.

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.

Excludes1 inherited from the categories above H54.52A

These are not written on H54.52A, but they bind it: a note on a category applies to every code beneath it. Billing H54.52A with anything listed here is a denial.

Written on H54 — Blindness and low vision

amaurosis fugax (G45.3)

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 history

H54.52A has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead H54.52A

2 child codes. Green means billable.

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).
What cannot be coded together with H54.52A?: H54.52A carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H54.52A (H54) and apply to it just the same.