H54.1

Non-Billable
ChapterH00–H59
Ranksubcategory
Official Description

Blindness, one eye, low vision other eye

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 7: Diseases of the Eye and Adnexa (H00-H59).

Instructional Notes

Includes
  • Visual impairment categories 3, 4, 5 in one eye, with categories 1 or 2 in the other eye.
General instructions are available for the parent sections:

Clinical Hierarchy

BillableHas subcodes
CH7Diseases of the eye and adnexa (H00-H59)
H53-H54Visual disturbances and blindness (H53-H54)
H54Blindness and low vision
H54.1Blindness, one eye, low vision other eyeNot billable
H54.10Blindness, one eye, low vision other eye, unspecified eyesBillable
H54.11Blindness, right eye, low vision left eyeSubcodes
H54.12Blindness, left eye, low vision right eyeSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to H54.1:

categoryH54
Blindness and low vision
View context instructions
chapterCH7
Diseases of the eye and adnexa (H00-H59)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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