H54.0X43 ICD-10-CM Code: Blindness right eye category 4, blindness left eye category 3
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Visual disturbances and blindness (H53-H54)
H54.0X43
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceBlindness right eye category 4, blindness left eye category 3
A condition where the person has severe vision loss in the right eye (category 4 blindness) and complete blindness in the left eye (category 3 blindness), resulting in significant visual impairment bilaterally.
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
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Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H54.0X43 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H54.0X43 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H54.0X43 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H54.0X43 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H54.0X43 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H54.0X43 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H54.0X43 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 H54.0X43 an HCC code?
No. H54.0X43 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
H54.0X43 is the ICD-10-CM diagnosis code for blindness right eye category 4, blindness left eye category 3. A condition where the person has severe vision loss in the right eye (category 4 blindness) and complete blindness in the left eye (category 3 blindness), resulting in significant visual impairment bilaterally. H54.0X43 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).
H54.0X43 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.
Ensure the documentation specifies which eye has category 4 versus category 3 blindness to avoid coding errors.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H54.0X43 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Ensure the documentation specifies which eye has category 4 versus category 3 blindness to avoid coding errors.
- •These codes require both eyes to have some degree of blindness; if one eye has low vision instead, use a different code series.