2025 ICD-10-CM code H54.0X45
(Valid) Effective Date: N/A Diseases of the eye and adnexa - Visual disturbances and blindness 7 Feed
Blindness right eye category 4, blindness left eye category 5.
Medical necessity is established by the presence of blindness in both eyes, as determined by visual acuity testing and clinical evaluation by an ophthalmologist or optometrist. The documentation must support the severity levels for each eye.
In simple words: This code signifies blindness in the right eye categorized as level 4, and blindness in the left eye categorized as level 5.
Blindness right eye category 4, blindness left eye category 5.The code should be followed by an external cause code, if applicable, to identify the cause of the eye condition.
Example 1: A patient presents with complete loss of vision in the right eye due to diabetic retinopathy (category 4 blindness), and severely constricted visual field in the left eye also due to diabetic retinopathy (category 5 blindness)., Following a traumatic injury, a patient has no light perception in the right eye (category 4 blindness) and only hand motion vision in the left eye (category 5 blindness).An external cause code for the injury would be added., A patient with advanced glaucoma has no light perception in their right eye (category 4) and only light perception in their left eye (category 5).
Detailed clinical documentation of the visual impairment in both eyes, including visual acuity measurements and the underlying cause of the blindness. If applicable, documentation of the external cause of the blindness should also be included.
** Categories of blindness according to WHO criteria are defined based on visual acuity and visual field. Category 4 blindness indicates no light perception in the affected eye(s). Category 5 blindness indicates the perception of light but no object recognition.
- Specialties:Ophthalmology, Optometry
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital