2025 ICD-10-CM code H54.0X33
(Active) Effective Date: N/A Diseases of the eye and adnexa - Visual disturbances and blindness Diseases of the eye and adnexa (H00-H59) Feed
Blindness right eye category 3, blindness left eye category 3.
The medical necessity for this code is established by the presence of blindness in both eyes meeting the criteria for category 3 as determined by a qualified eye care professional. The underlying condition causing the blindness should also be documented to support medical necessity.
The diagnosis of blindness and its categorization require assessment by an ophthalmologist or optometrist.They would perform various tests to determine the level of visual impairment for each eye and assign the appropriate category.
In simple words: This code signifies that the patient is blind in both eyes, with both eyes having a severity level 3 blindness.
This code indicates that the patient has blindness in both eyes, with the right eye categorized as level 3 and the left eye also categorized as level 3.The categories specify the level of visual impairment.
Example 1: A patient presents with complete loss of vision in their right eye due to diabetic retinopathy and also complete vision loss in their left eye due to glaucoma. After thorough examination, both eyes are assigned a category 3 level of blindness., Following a traumatic injury, a patient suffers severe damage to both eyes.Upon examination, the ophthalmologist determines that both eyes meet the criteria for category 3 blindness., A patient with a history of macular degeneration experiences progressive vision loss in both eyes.Over time, the vision in both eyes deteriorates to the point where they are classified as category 3 blindness.
Documentation should include detailed ophthalmological examination findings, including visual acuity measurements, visual field tests, and any other relevant diagnostic tests that support the diagnosis of category 3 blindness in both eyes.The underlying cause of blindness should also be documented.
** Excludes1: amaurosis fugax (G45.3). Code first any associated underlying cause of the blindness.
- Specialties:Ophthalmology, Optometry
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital