H54.5
Non-Billable

Low vision, one eye

Non-Billable / Non-Specific Code

What is Low vision, one eye?

ICD-10-CM H54.5 is the diagnosis code for Low vision, one eye. This code falls under the section "Visual disturbances and blindness" within Chapter 7 — Diseases of the eye and adnexa (H00-H59). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions

Coding Guidelines for H54.5

✅ This Code Includes

  • Visual impairment categories 1 or 2 in one eye [normal vision in other eye].

ICD-10-CM Code Hierarchy

Understanding where H54.5 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 3 entries
H54.50Low vision, one eye, unspecified eyeBillableH54.51Low vision, right eye, normal vision left eyeNon-BillableH54.511Low vision, right eye, category 1Non-BillableH54.511ALow vision right eye category 1, normal vision left eyeBillableH54.512Low vision, right eye, category 2Non-BillableH54.512ALow vision right eye category 2, normal vision left eyeBillableH54.52Low vision, left eye, normal vision right eyeNon-BillableH54.52ALow vision, left eye, category 1-2Non-BillableH54.52A1Low vision left eye category 1, normal vision right eyeBillableH54.52A2Low vision left eye category 2, normal vision right eyeBillable
Related Codes

Frequently Asked Questions

Is H54.5 a billable ICD-10-CM code?

No, H54.5 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does H54.5 mean?

H54.5 is the ICD-10-CM diagnosis code for "Low vision, one eye". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of H54.5?

The parent code of H54.5 is H54 ("Blindness and low vision"). H54.5 provides a more specific classification within this category.

What section is H54.5 in?

H54.5 is located in Section H53-H54 — "Visual disturbances and blindness" within Chapter 7 of the ICD-10-CM Tabular List.

What are the sub-codes of H54.5?

H54.5 has 3 sub-code(s) that provide more specific detail: H54.50, H54.51, H54.52.

When should I use H54.5?

Use H54.5 when the patients documented diagnosis matches "Low vision, one eye" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Low vision, one eye?

The ICD-10-CM code for Low vision, one eye is H54.5.

Can H54.5 be used for primary diagnosis?

No, H54.5 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is H54.5 in?

H54.5 is in Chapter 7 of the ICD-10-CM Tabular List.

Is H54.5 valid for 2026?

Yes, H54.5 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousH54.42A5Blindness left eye category 5, normal vision right eyeNext →H54.50Low vision, one eye, unspecified eye
Code Details
H54.5
Low vision, one eye
Non-Billable / Non-Specific Code
7 — Diseases of the eye and adnexa (H00-H59)
H53-H54 — Visual disturbances and blindness
2026 ICD-10-CM