H54
Header — not billableBlindness and low vision
The ICD-10 code for blindness and low vision is H54.
H54 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 9 more specific codes below.
Clinical notes
Code first
This code represents a manifestation of an underlying disease. Coding convention requires the underlying (etiology) code to be sequenced first, with this code listed second.
- any associated underlying cause of the blindness
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- amaurosis fugax (G45.3)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •This code represents a manifestation. Documentation should identify the underlying condition, which must be coded first.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under H54
- H54.0Blindness, both eyesnon-billable header
- H54.1Blindness, one eye, low vision other eyenon-billable header
- H54.2Low vision, both eyesnon-billable header
- H54.3Unqualified visual loss, both eyes
- H54.4Blindness, one eyenon-billable header
- H54.5Low vision, one eyenon-billable header
- H54.6Unqualified visual loss, one eyenon-billable header
- H54.7Unspecified visual loss
- H54.8Legal blindness, as defined in USA
Related codes in this category
- H53Visual disturbancesnon-billable header
- H54Blindness and low visionnon-billable header