DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

H54 Blindness and low vision

  • Header · not billable

H54 is not billable. The category heads 44 billable codes in FY2027, grouped under 9 subdivisions.

Index → code

  • Blindness (acquired) (congenital) (both eyes) → H54.0X-
  • Lowvision → H54.2X-
  • Poorvision NEC → H54.7

Where it sits

  1. Chapter 7 Diseases of the eye and adnexa (H00-H59)
  2. H53-H54 Visual disturbances and blindness (H53-H54)
  3. H54 Blindness and low vision
Billable codes
44
Subdivisions
9
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
27

Codes in H54

  1. H54.0
    Blindness, both eyes
    Header
    Inclusion terms 1

    Inclusion terms

    • Visual impairment categories 3, 4, 5 in both eyes.
  2. H54.0X
    Blindness, both eyes, different category levels
    Header
  3. H54.0X3
    Blindness right eye, category 3
    Header
  4. H54.0X33
    Blindness right eye category 3, blindness left eye category 3
    Billable
  5. H54.0X34
    Blindness right eye category 3, blindness left eye category 4
    Billable
  6. H54.0X35
    Blindness right eye category 3, blindness left eye category 5
    Billable
  7. H54.0X4
    Blindness right eye, category 4
    Header
  8. H54.0X43
    Blindness right eye category 4, blindness left eye category 3
    Billable
  9. H54.0X44
    Blindness right eye category 4, blindness left eye category 4
    Billable
  10. H54.0X45
    Blindness right eye category 4, blindness left eye category 5
    Billable
  11. H54.0X5
    Blindness right eye, category 5
    Header
  12. H54.0X53
    Blindness right eye category 5, blindness left eye category 3
    Billable
  13. H54.0X54
    Blindness right eye category 5, blindness left eye category 4
    Billable
  14. H54.0X55
    Blindness right eye category 5, blindness left eye category 5
    Billable
  15. H54.1
    Blindness, one eye, low vision other eye
    Header
    Inclusion terms 1

    Inclusion terms

    • Visual impairment categories 3, 4, 5 in one eye, with categories 1 or 2 in the other eye.
  16. H54.10
    Blindness, one eye, low vision other eye, unspecified eyes
    Billable
  17. H54.11
    Blindness, right eye, low vision left eye
    Header
  18. H54.113
    Blindness right eye category 3, low vision left eye
    Header
  19. H54.1131
    Blindness right eye category 3, low vision left eye category 1
    Billable
  20. H54.1132
    Blindness right eye category 3, low vision left eye category 2
    Billable
  21. H54.114
    Blindness right eye category 4, low vision left eye
    Header
  22. H54.1141
    Blindness right eye category 4, low vision left eye category 1
    Billable
  23. H54.1142
    Blindness right eye category 4, low vision left eye category 2
    Billable
  24. H54.115
    Blindness right eye category 5, low vision left eye
    Header
  25. H54.1151
    Blindness right eye category 5, low vision left eye category 1
    Billable
  26. H54.1152
    Blindness right eye category 5, low vision left eye category 2
    Billable
  27. H54.12
    Blindness, left eye, low vision right eye
    Header
  28. H54.121
    Low vision right eye category 1, blindness left eye
    Header
  29. H54.1213
    Low vision right eye category 1, blindness left eye category 3
    Billable
  30. H54.1214
    Low vision right eye category 1, blindness left eye category 4
    Billable
  31. H54.1215
    Low vision right eye category 1, blindness left eye category 5
    Billable
  32. H54.122
    Low vision right eye category 2, blindness left eye
    Header
  33. H54.1223
    Low vision right eye category 2, blindness left eye category 3
    Billable
  34. H54.1224
    Low vision right eye category 2, blindness left eye category 4
    Billable
  35. H54.1225
    Low vision right eye category 2, blindness left eye category 5
    Billable
  36. H54.2
    Low vision, both eyes
    Header
    Inclusion terms 1

    Inclusion terms

    • Visual impairment categories 1 or 2 in both eyes.
  37. H54.2X
    Low vision, both eyes, different category levels
    Header
  38. H54.2X1
    Low vision, right eye, category 1
    Header
  39. H54.2X11
    Low vision right eye category 1, low vision left eye category 1
    Billable
  40. H54.2X12
    Low vision right eye category 1, low vision left eye category 2
    Billable
  41. H54.2X2
    Low vision, right eye, category 2
    Header
  42. H54.2X21
    Low vision right eye category 2, low vision left eye category 1
    Billable
  43. H54.2X22
    Low vision right eye category 2, low vision left eye category 2
    Billable
  44. H54.3
    Unqualified visual loss, both eyes
    Billable
    Inclusion terms 1

    Inclusion terms

    • Visual impairment category 9 in both eyes.
  45. H54.4
    Blindness, one eye
    Header
    Inclusion terms 1

    Inclusion terms

    • Visual impairment categories 3, 4, 5 in one eye [normal vision in other eye]
  46. H54.40
    Blindness, one eye, unspecified eye
    Billable
  47. H54.41
    Blindness, right eye, normal vision left eye
    Header
  48. H54.413
    Blindness, right eye, category 3
    Header
  49. H54.413A
    Blindness right eye category 3, normal vision left eye
    Billable
  50. H54.414
    Blindness, right eye, category 4
    Header
  51. H54.414A
    Blindness right eye category 4, normal vision left eye
    Billable
  52. H54.415
    Blindness, right eye, category 5
    Header
  53. H54.415A
    Blindness right eye category 5, normal vision left eye
    Billable
  54. H54.42
    Blindness, left eye, normal vision right eye
    Header
  55. H54.42A
    Blindness, left eye, category 3-5
    Header
  56. H54.42A3
    Blindness left eye category 3, normal vision right eye
    Billable
  57. H54.42A4
    Blindness left eye category 4, normal vision right eye
    Billable
  58. H54.42A5
    Blindness left eye category 5, normal vision right eye
    Billable
  59. H54.5
    Low vision, one eye
    Header
    Inclusion terms 1

    Inclusion terms

    • Visual impairment categories 1 or 2 in one eye [normal vision in other eye].
  60. H54.50
    Low vision, one eye, unspecified eye
    Billable
  61. H54.51
    Low vision, right eye, normal vision left eye
    Header
  62. H54.511
    Low vision, right eye, category 1
    Header
  63. H54.511A
    Low vision right eye category 1, normal vision left eye
    Billable
  64. H54.512
    Low vision, right eye, category 2
    Header
  65. H54.512A
    Low vision right eye category 2, normal vision left eye
    Billable
  66. H54.52
    Low vision, left eye, normal vision right eye
    Header
  67. H54.52A
    Low vision, left eye, category 1-2
    Header
  68. H54.52A1
    Low vision left eye category 1, normal vision right eye
    Billable
  69. H54.52A2
    Low vision left eye category 2, normal vision right eye
    Billable
  70. H54.6
    Unqualified visual loss, one eye
    Header
    Inclusion terms 1

    Inclusion terms

    • Visual impairment category 9 in one eye [normal vision in other eye].
  71. H54.60
    Unqualified visual loss, one eye, unspecified
    Billable
  72. H54.61
    Unqualified visual loss, right eye, normal vision left eye
    Billable
  73. H54.62
    Unqualified visual loss, left eye, normal vision right eye
    Billable
  74. H54.7
    Unspecified visual loss
    Billable
    Inclusion terms 1

    Inclusion terms

    • Visual impairment category 9 NOS
  75. H54.8
    Legal blindness, as defined in USA
    Billable
    Notes 3, Inclusion terms 1, Excludes1 1

    Notes

    • The table below gives a classification of severity of visual impairment recommended by a WHO Study Group on the Prevention of Blindness, Geneva, 6-10 November 1972.
    • The term 'low vision' in category H54 comprises categories 1 and 2 of the table, the term 'blindness' categories 3, 4 and 5, and the term 'unqualified visual loss' category 9. H54
    • If the extent of the visual field is taken into account, patients with a field no greater than 10 but greater than 5 around central fixation should be placed in category 3 and patients with a field no greater than 5 around central fixation should be placed in category 4, even if the central acuity is not impaired.

    Inclusion terms

    • Blindness NOS according to USA definition

    Excludes1

    • legal blindness with specification of impairment level (H54.0-H54.7) H54.0 H54.7

Sources of each column.

Instructions

At H54

Notes

  • For definition of visual impairment categories see table below

Excludes1

  • amaurosis fugax (G45.3) G45.3

Code first

  • any associated underlying cause of the blindness

Notes that also apply

Chapter 7 instructions (Notes 1, Excludes2 11): printed on the chapter 7 page.

Index entries

  • Blindness (acquired) (congenital) (both eyes) → H54.0X-
  • Lowvision → H54.2X-
  • Blindness (acquired) (congenital) (both eyes)one eye (other eye normal) → H54.40
  • Decrease (d)vision NEC → H54.7
  • Defect, defectivevision NEC → H54.7
  • Diminished, diminutionvision NEC → H54.7
  • Impaired, impairment (function)vision NEC → H54.7
  • Loss (of)vision, visual → H54.7
  • Poorvision NEC → H54.7
  • Problem (with) (related to)sight → H54.7
  • Vision, visualdefect, defective NEC → H54.7
  • Blindness (acquired) (congenital) (both eyes)legal (both eyes) (USA definition) → H54.8
  • Blindness (acquired) (congenital) (both eyes)one eye (other eye normal)low vision, other eye → H54.10
  • Impaired, impairment (function)vision NECboth eyes → H54.3
  • Loss (of)vision, visualboth eyes → H54.3
  • Blindness (acquired) (congenital) (both eyes)one eye (other eye normal)right (normal vision on left) → H54.41-
  • Blindness (acquired) (congenital) (both eyes)one eye (other eye normal)left (normal vision on right) → H54.42-
  • Lowvisionone eye (other eye normal) → H54.50
  • Loss (of)vision, visualone eye → H54.60
  • Blindness (acquired) (congenital) (both eyes)one eye (other eye normal)right (normal vision on left)low vision on left → H54.11-
  • Blindness (acquired) (congenital) (both eyes)one eye (other eye normal)left (normal vision on right)low vision on right → H54.12-
  • Loss (of)vision, visualone eyeright (normal vision on left) → H54.61
  • Loss (of)vision, visualone eyeleft (normal vision on right) → H54.62
  • Lowvisionone eye (other eye normal)right (normal vision on left)category 1 → H54.511A
  • Lowvisionone eye (other eye normal)right (normal vision on left)category 2 → H54.512A
  • Lowvisionone eye (other eye normal)left (normal vision on right)category 1 → H54.52A1
  • Lowvisionone eye (other eye normal)left (normal vision on right)category 2 → H54.52A2

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy