H54.1 — Blindness, one eye, low vision other eye
Is H54.1 billable?
No — H54.1 is a non-billable header code. H54.1 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 13 billable codes beneath H54.1.
Billable codes under this header
- H54.10Blindness, one eye, low vision other eye, unspecified eyes
- H54.1131Blindness right eye category 3, low vision left eye category 1
- H54.1132Blindness right eye category 3, low vision left eye category 2
- H54.1141Blindness right eye category 4, low vision left eye category 1
- H54.1142Blindness right eye category 4, low vision left eye category 2
- H54.1151Blindness right eye category 5, low vision left eye category 1
- H54.1152Blindness right eye category 5, low vision left eye category 2
- H54.1213Low vision right eye category 1, blindness left eye category 3
- H54.1214Low vision right eye category 1, blindness left eye category 4
- H54.1215Low vision right eye category 1, blindness left eye category 5
- H54.1223Low vision right eye category 2, blindness left eye category 3
- H54.1224Low vision right eye category 2, blindness left eye category 4
- H54.1225Low vision right eye category 2, blindness left eye category 5
H54.1 at a glance
| Code | H54.1 |
|---|---|
| Description | Blindness, one eye, low vision other eye |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Inclusion terms
Alternative wording in documentation that is classified to H54.1.
- Visual impairment categories 3, 4, 5 in one eye, with categories 1 or 2 in the other eye.
Excludes1 — never code together — inherited from H54
The conditions below can never be reported together with H54.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- amaurosis fugax (G45.3)
Code first — inherited from H54
The underlying condition below must be sequenced before H54.1. H54.1 describes a manifestation and cannot be the principal or first-listed diagnosis.
- any associated underlying cause of the blindness
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H54.1, but a patient may have both at the same time. When documentation supports it, H54.1 and the excluded code may both be reported.
- 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)
What codes fall under H54.1? (3)
How long has H54.1 existed?
H54.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the H54 family? (8)
- H54.0Blindness, both eyesnot billable
- H54.2Low vision, both eyesnot billable
- H54.3Unqualified visual loss, both eyes
- H54.4Blindness, one eyenot billable
- H54.5Low vision, one eyenot billable
- H54.6Unqualified visual loss, one eyenot billable
- H54.7Unspecified visual loss
- H54.8Legal blindness, as defined in USA