ICD-10 :
Watch H54 Family for Streamlined Visual Impairment Coding
Published on Mon Dec 14, 2015
Choose from 17 codes for blindness, low vision conditions in either eye.
While the enormity of making the transition to ICD-10 can seem overwhelming, the new system makes coding many conditions easier and more specific. Case in point: In ICD-10, you need to choose from only 17 codes for blindness and low vision, compared to the 45 codes in this ICD-9 category.
When your patient is diagnosed with a visual impairment, look to H54.-- (Blindness and low vision). The codes in the H54.-- category break down as follows:
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H54.0 – Blindness, both eyes
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H54.10 – Blindness, one eye, low vision other eye, unspecified eyes
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H54.11 – Blindness, right eye, low vision left eye
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H54.12 – Blindness, left eye, low vision right eye
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H54.3 – Unqualified visual loss, both eyes
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H54.40 – Blindness, one eye, unspecified eye
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H54.41 – Blindness, right eye, normal vision left eye
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H54.42 – Blindness, left eye, normal vision right eye
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H54.50 – Low vision, one eye, unspecified eye
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H54.51 – Low vision, right eye, normal vision left eye
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H54.52 – Low vision, left eye, normal vision right eye
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H54.60 – Unqualified visual loss, one eye, unspecified
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H54.61 – Unqualified visual loss, right eye, normal vision left eye
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H54.62 – Unqualified visual loss, left eye, normal vision right eye
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H54.7 – Unspecified visual loss
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H54.8 – Legal blindness, as defined in USA.
Don’t Miss Sequencing Rules
When reporting that your patient has a visual impairment, you should also list a code that describes the reason for the vision problem. In ICD-10, you’re asked to sequence any associated underlying cause of blindness before the H54.-- code.
Note: Visual acuity with best possible correction means with glasses with best possible correction.