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2025 ICD-10-CM code H54.0X53

Blindness right eye category 5, blindness left eye category 3.

External cause codes should be added to identify the cause of the eye condition, if applicable. Any underlying condition causing the blindness should be coded first.

The medical necessity for using this code is established when a patient exhibits blindness, which may be due to various etiologies, affecting both eyes differently.

Assessment of visual function for each eye separately needs to be performed by the clinician along with assigning a visual impairment category for both eyes. Clinicians also needs to ensure proper documentation of any other causal condition contributing to the blindness.

In simple words: This code indicates that the right eye is completely blind (category 5), and the left eye is also blind with a slightly less severe level of vision impairment (category 3).

This code signifies blindness in the right eye categorized as level 5, along with blindness in the left eye categorized as level 3.Visual impairment categories are defined based on the level of vision loss.

Example 1: A patient presents with complete vision loss of their right eye and severe vision impairment in their left eye, having best-corrected visual acuity worse than 20/200 in the better eye., After a traumatic injury, a patient experiences complete loss of vision in the right eye (Category 5 blindness) and in the left eye, only able to perceive light and having no usable vision. (Category 3 blindness), A patient with a history of glaucoma is examined. The right eye is found to have no light perception (NLP), while the left eye has only light perception (LP). These would both fall under different categories of blindness.

Detailed clinical examination findings of visual function tests for both eyes including visual acuity measurements and field of vision assessments along with documentation of underlying medical conditions that might have caused blindness. If applicable, documentation of the external cause of blindness needs to be recorded.

** Refer to the visual impairment categories table for definitions and ensure appropriate documentation of causal factors and external causes of the condition for accurate reporting.Amaurosis fugax (G45.3) is excluded from this code.

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