H54.1132 ICD-10-CM Code: Blindness right eye category 3, low vision left eye category 2

H54.1132 is the ICD-10-CM diagnosis code for blindness right eye category 3, low vision left eye category 2. This code describes a patient who is legally blind in the right eye (category 3 blindness) and has significant vision loss in the left eye (category 2 low vision). The patient has severely limited vision in both eyes, with the right eye being completely or nearly completely non-functional. H54.1132 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).

H54.1132 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 documentation specifies the exact visual acuity measurements or functional vision loss for each eye separately, as this code requires laterality specification for both eyes.