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H54.3

Billable

Unqualified visual loss, both eyes

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

What This Code Means

Vision loss in both eyes that cannot be more specifically classified or categorized. The exact severity or type of vision loss is not documented.

Coding Tips

  • •This is a less specific code; use only when the documentation does not provide enough detail to assign a more specific bilateral vision loss code.
  • •Query the provider for more specific information about visual acuity in each eye to allow assignment of a more precise code.

Code Hierarchy

└H54Blindness and low vision└H54.3Unqualified visual loss, both eyes
└H54.3Unqualified visual loss, both eyes

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