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H55.03

Billable

Visual deprivation nystagmus

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

What This Code Means

This is a type of involuntary eye movement that occurs when vision is severely limited or blocked, such as in cases of blindness or severe visual impairment. The eyes make repetitive movements as a compensatory response to the lack of visual input.

Coding Tips

  • Verify the underlying cause of visual deprivation (such as congenital cataracts, corneal opacity, or severe refractive error) and code it separately if documented
  • Ensure the nystagmus is specifically related to visual deprivation rather than other causes like neurological conditions, and review clinical documentation to confirm the etiology

Code Hierarchy

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