H54.115 — Blindness right eye category 5, low vision left eye
Is H54.115 billable?
No — H54.115 is a non-billable header code. H54.115 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 2 billable codes beneath H54.115.
H54.115 at a glance
| Code | H54.115 |
|---|---|
| Description | Blindness right eye category 5, low vision left eye |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is H54.115 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H54.11, the nearest indexed parent of H54.115. Use them to find the family, then select the specific code.
- Blindness › one eye › right › low vision on left (acquired) (congenital) (both eyes)
Excludes1 — never code together — inherited from H54
The conditions below can never be reported together with H54.115 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 H54.115. H54.115 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 H54.115, but a patient may have both at the same time. When documentation supports it, H54.115 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 H54.115? (2)
How long has H54.115 existed?
H54.115 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.