Non-Billable / Non-Specific Code
ICD-10-CM H54.511 is the diagnosis code for Low vision, right eye, category 1. 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.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where H54.511 sits in the ICD-10-CM classification helps ensure proper coding:
No, H54.511 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
H54.511 is the ICD-10-CM diagnosis code for "Low vision, right eye, category 1". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of H54.511 is H54.51 ("Low vision, right eye, normal vision left eye"). H54.511 provides a more specific classification within this category.
H54.511 is located in Section H53-H54 — "Visual disturbances and blindness" within Chapter 7 of the ICD-10-CM Tabular List.
H54.511 has 1 sub-code(s) that provide more specific detail: H54.511A.
Use H54.511 when the patients documented diagnosis matches "Low vision, right eye, category 1" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Low vision, right eye, category 1 is H54.511.
No, H54.511 is non-billable. Use a more specific sub-code for primary diagnosis billing.
H54.511 is in Chapter 7 of the ICD-10-CM Tabular List.
Yes, H54.511 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.