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H54.40

Billable

Blindness, one eye, unspecified eye

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

What This Code Means

Complete blindness in one eye, but it is not documented which eye is affected. The person has no vision in one eye.

Coding Tips

  • This code should only be used when the documentation does not specify whether the right or left eye is blind; query for clarification when possible.
  • If the specific eye can be determined, use H54.41 (right eye) or H54.42 (left eye) instead for greater specificity.

Code Hierarchy

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