H54.42A5
BillableBlindness left eye category 5, normal vision right eye
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Complete blindness in the left eye with normal vision in the right eye, representing the highest severity level of unilateral blindness.
Coding Tips
- •Category 5 is the most severe blindness level; ensure documentation explicitly supports this classification
- •Use the appropriate 7th character to indicate whether this is an initial encounter, subsequent visit, or sequela
Code Hierarchy
└H54Blindness and low vision└H54.4Blindness, one eye└H54.42Blindness, left eye, normal vision right eye└H54.42ABlindness, left eye, category 3-5└H54.42A5Blindness left eye category 5, normal vision right eye
└H54.42A5Blindness left eye category 5, normal vision right eye