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.
Check H54.7 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Visual impairment category 9 NOS
Other codes that can never be billed with H54.7
Their own Excludes1 notes name this code, so the conflict is not listed above.
- H54.8Legal blindness, as defined in USA
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H54.7 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56551Billing and Coding: Visual Fields Testing
- A56672Billing and Coding: Electroretinography (ERG)
- A56718Billing and Coding: Intravenous Immunoglobulin (IVIG)
- A56799Billing and Coding: Visual Fields Testing
Alphabetic index entries that lead here
- 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
Unchanged in every release from FY2024 to FY2027.