ICDcodes.org
FY2027

H54.5 — Low vision, one eye

Not billable

Is H54.5 billable?

No — H54.5 is a non-billable header code. H54.5 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 5 billable codes beneath H54.5.

H54.5 at a glance

CodeH54.5
DescriptionLow vision, one eye
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Inclusion terms

Alternative wording in documentation that is classified to H54.5.

  • Visual impairment categories 1 or 2 in one eye [normal vision in other eye].

Excludes1 — never code together — inherited from H54

The conditions below can never be reported together with H54.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

Code first — inherited from H54

The underlying condition below must be sequenced before H54.5. H54.5 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 H54.5, but a patient may have both at the same time. When documentation supports it, H54.5 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 H54.5? (3)

How long has H54.5 existed?

H54.5 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)