H53.11 ICD-10-CM Code: Day blindness
HCC Buddy Code Card
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Visual disturbances and blindness (H53-H54)
H53.11
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceDay blindness
A rare condition where a person has difficulty seeing in daylight or bright conditions but may see better in dim light.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Hemeralopia
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H53.11 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H53.11 in this effective period.
Excludes 1
Official- subjective visual disturbances due to vitamin A deficiency (E50.5)
- visual hallucinations (R44.1)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H53.11 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H53.11 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H53.11 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is H53.11 an HCC code?
No. H53.11 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H53.11 is the ICD-10-CM diagnosis code for day blindness. A rare condition where a person has difficulty seeing in daylight or bright conditions but may see better in dim light. H53.11 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering visual disturbances and blindness (h53-h54).
H53.11 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Day blindness is the opposite of night blindness; ensure documentation clearly indicates daytime vision problems.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H53.11 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Day blindness is the opposite of night blindness; ensure documentation clearly indicates daytime vision problems
- •This is a specific diagnosis requiring clear clinical documentation