2025 ICD-10-CM code H54.0X34
Blindness right eye category 3, blindness left eye category 4.
Medical necessity for services related to this condition must be supported by documentation of functional impairment due to vision loss, and the need for interventions such as low vision aids, rehabilitation services, or other treatments to optimize remaining vision and improve the patient's quality of life.
The diagnosis and documentation of this condition is typically the responsibility of an ophthalmologist or optometrist. They will perform various eye exams to determine visual acuity and visual fields to establish the appropriate category of blindness.
In simple words: This code indicates that the right eye has severe vision impairment (category 3) and the left eye has profound vision impairment (category 4).Category 3 means the person can count fingers at 3 meters or has a very limited visual field. Category 4 implies they may only perceive hand motions or have an extremely restricted field of vision.
Blindness right eye category 3, blindness left eye category 4. Category 3 blindness is defined as visual acuity of 3/60, being able to count fingers at 3 meters, or having a visual field between 5 and 10 degrees. Category 4 blindness is visual acuity of less than 3/60, only able to perceive hand motion, or visual field less than 5 degrees.
Example 1: A patient presents with significantly reduced vision in both eyes. After thorough examination, the ophthalmologist determines that the patient’s right eye has a visual acuity of 3/60, qualifying as category 3 blindness. The left eye is found to have even worse vision, only able to perceive hand motions at close range, which is classified as category 4 blindness. The appropriate code is H54.0X34., A patient involved in a motor vehicle accident sustained eye injuries. Following treatment and recovery, the patient’s right eye can count fingers at 3 meters (category 3) while the left eye can only perceive hand motion (category 4). The code H54.0X34 is used to document this condition., A patient with a history of progressive eye disease experiences further deterioration in vision. Tests reveal that the right eye has a visual field of 6 degrees (category 3) while the left eye has a visual field limited to less than 5 degrees (category 4). This visual impairment is coded as H54.0X34.
Documentation should include detailed results of visual acuity tests using Snellen chart or other appropriate methods, visual field testing results, and description of any other signs or symptoms. It’s crucial to document the specific measurements and observations that led to the assignment of category 3 for the right eye and category 4 for the left eye. Any underlying causes or related conditions contributing to the blindness should also be documented.
** This code helps track detailed information about visual impairment for public health data, research purposes, and resource allocation.It is important to accurately assess and document the visual function of each eye using standardized methods for proper code assignment.
- Payment Status: Active
- Specialties:Ophthalmology, Optometry
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital