All ICD10 Codes
H54Non-billable

Blindness and low vision

Diseases of the Eye and Adnexa·Visual disturbances and blindness (H53-H54)·category·FY 2026

Use a more specific code (3 billable, 6 non-billable)
H54.0Blindness, both eyeshas subcodesH54.1Blindness, one eye, low vision other eyehas subcodesH54.2Low vision, both eyeshas subcodesH54.3Unqualified visual loss, both eyesH54.4Blindness, one eyehas subcodesH54.5Low vision, one eyehas subcodesH54.6Unqualified visual loss, one eyehas subcodesH54.7Unspecified visual lossH54.8Legal blindness, as defined in USA

CH7 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
Code First
  • any associated underlying cause of the blindness

Clinical Hierarchy

BillableHas subcodes
CH7Diseases of the eye and adnexa (H00-H59)
H53-H54Visual disturbances and blindness (H53-H54)
H54Blindness and low visionNot billable
H54.0Blindness, both eyesSubcodes
H54.1Blindness, one eye, low vision other eyeSubcodes
H54.2Low vision, both eyesSubcodes
H54.3Unqualified visual loss, both eyesBillable
H54.4Blindness, one eyeSubcodes
H54.5Low vision, one eyeSubcodes
H54.6Unqualified visual loss, one eyeSubcodes
H54.7Unspecified visual lossBillable
H54.8Legal blindness, as defined in USABillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.