H54.8
BillableLegal blindness, as defined in USA
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
This code describes a level of vision loss that meets the legal definition of blindness in the United States, typically meaning visual acuity of 20/200 or worse in the better eye, or a visual field of 20 degrees or less. It is used for documentation and billing purposes when a patient's vision impairment qualifies them for legal blindness status.
Coding Tips
- •Verify the specific visual acuity measurements or visual field results in the medical record to confirm the patient meets legal blindness criteria before assigning this code
- •Use the 5th character to specify laterality (right eye, left eye, or bilateral) as required by ICD-10-CM guidelines
Excludes 1 — Do NOT code together
Code Hierarchy
└H54Blindness and low vision└H54.8Legal blindness, as defined in USA
└H54.8Legal blindness, as defined in USA