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H53.141 ICD-10-CM Code: Visual discomfort, right eye

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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Visual disturbances and blindness (H53-H54)

H53.141

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Visual discomfort, right eye

Visual discomfort in the right eye is an uncomfortable sensation or irritation experienced in the right eye that may include symptoms like eye strain, burning, or general discomfort without a specific underlying disease. This condition is often related to prolonged screen time, dry eyes, or eye fatigue.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
H53.1Subjective visual disturbances
H53.14Visual discomfort
H53.141Visual discomfort, right eye

Inclusion Terms

Official
  • Asthenopia
  • Photophobia

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H53.141 in this effective period.

Related Child Codes

Official
H53.142Visual discomfort, left eye
H53.143Visual discomfort, bilateral
H53.149Visual discomfort, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for H53.141 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H53.141 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H53.141 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H53.141 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H53.141 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify laterality is documented as right eye only; if bilateral, use H53.142 for left eye or H53.143 for bilateral cases
Ensure the provider has ruled out other specific eye conditions (dry eye syndrome, eye strain, conjunctivitis) before coding this symptom-based diagnosis, as more specific codes may be more appropriate

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 H53.141 an HCC code?

No. H53.141 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

H53.141 is the ICD-10-CM diagnosis code for visual discomfort, right eye. Visual discomfort in the right eye is an uncomfortable sensation or irritation experienced in the right eye that may include symptoms like eye strain, burning, or general discomfort without a specific underlying disease. This condition is often related to prolonged screen time, dry eyes, or eye fatigue. H53.141 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).

H53.141 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.

Verify laterality is documented as right eye only; if bilateral, use H53.142 for left eye or H53.143 for bilateral cases.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H53.141 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify laterality is documented as right eye only; if bilateral, use H53.142 for left eye or H53.143 for bilateral cases
  • Ensure the provider has ruled out other specific eye conditions (dry eye syndrome, eye strain, conjunctivitis) before coding this symptom-based diagnosis, as more specific codes may be more appropriate

Child Codes

Code Hierarchy

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