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Home/Diagnosis/ICD-10 Coding for Loss of Vision

ICD-10 Coding for Loss of Vision

H54.3
H54.41

Complete ICD-10-CM coding and documentation guide for icd-10 coding for loss of vision includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Visual Impairment
Blindness
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Key Information: ICD-10 Coding for Loss of Vision

Essential facts and insights about ICD-10 Coding for Loss of Vision

Use ICD-10 code H54.3 for unqualified visual loss, both eyes, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unqualified visual loss, both eyes

Billable Code
H54.3
Billable

Diagnostic Criteria

documentation_criteria:
  • • Bilateral vision loss documented without specific category
applicable_to:
  • • Blindness both eyes
excludes:
  • • Blindness with specified cause
validation:
  • • Documented bilateral vision loss without specific category
notes:
  • • Ensure documentation specifies bilateral involvement.
risks:
  • • Risk of undercoding if specific category is known but not documented.

Blindness, right eye, normal vision left eye

Non-Billable
H54.41
Non-Billable

Diagnostic Criteria

applicable_to:
  • • Blindness OD, normal OS
excludes:
  • • Blindness due to specific cause
validation:
  • • Documented blindness in right eye with normal vision in left eye
notes:
  • • Ensure laterality is clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

E11.31

Diabetic retinopathy

Use to specify underlying cause of vision loss when applicable.

H40.11x2

Primary open-angle glaucoma

Use to specify underlying cause of vision loss when applicable.

Frequently Asked Questions

What is the ICD-10 code for loss of vision?

The ICD-10 code for loss of vision varies based on specifics such as laterality and severity. Common codes include H54.3 for bilateral unqualified visual loss and H54.7 for unspecified visual loss.

How do you code bilateral blindness?

Bilateral blindness is coded as H54.3 if the specific visual category is not documented. Ensure to document the underlying cause if known.

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