Is H54.7 a billable ICD-10-CM code?

Yes. H54.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H54.7 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 H54.7?

H54.7 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 H54.7 (H54) and apply to it just the same.

H54.7

H54.7 — Unspecified visual loss

Billable / specific codeICD-10-CM

H54.7 is a billable, specific ICD-10-CM code for unspecified visual loss. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Visual impairment category 9 NOS

Excludes1 inherited from the categories above H54.7

These are not written on H54.7, but they bind it: a note on a category applies to every code beneath it. Billing H54.7 with anything listed here is a denial.

Written on H54 — Blindness and low vision

amaurosis fugax (G45.3)

Other codes that can never be billed with H54.7

These codes carry an Excludes1 note pointing at H54.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H54.7 alone.

H54.8Legal blindness, as defined in USA

Risk adjustment

H54.7 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

H54.7 is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56551Billing and Coding: Visual Fields Testing
A56672Billing and Coding: Electroretinography (ERG)
A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
A56799Billing and Coding: Visual Fields Testing

How H54.7 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 H54.7.

Decrease›vision NEC
Defect, defective›vision NEC
Diminished, diminution›vision NEC
Impaired, impairment›vision NEC
Loss›vision, visual
Poor›vision NEC
Problem›sight
Vision, visual›defect, defective NEC

Code history

H54.7 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share H54. If H54.7 is not quite right, the correct code is usually one of these.

Questions about H54.7

Is H54.7 a billable ICD-10-CM code?: Yes. H54.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H54.7 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 H54.7?: H54.7 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 H54.7 (H54) and apply to it just the same.