H54.512A ICD-10-CM Code: Low vision right eye category 2, normal vision left eye

H54.512A is the ICD-10-CM diagnosis code for low vision right eye category 2, normal vision left eye. Reduced vision in the right eye at a moderate severity level with normal vision in the left eye. H54.512A 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).

H54.512A 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 documentation clearly indicates category 2 low vision in the right eye to differentiate from category 1.