ICD-10-CM Billable Code

H54.1152

Blindness right eye category 5, low vision left eye category 2

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code H54.1152 describes a specific vision condition involving blindness in the right eye and low vision in the left eye. This classification helps healthcare providers document and manage visual impairments effectively. The code details a situation where the right eye has complete blindness, categorized as category 5, while the left eye has significant but not complete visual impairment, categorized as low vision (category 2). Recognizing these distinctions is important for appropriate diagnosis, treatment planning, and understanding the impact on daily life.

Causes & Symptoms

Clinical Causes: Age-related macular degeneration Diabetic retinopathy Glaucoma Injuries to the eye Optic nerve damage Retinal detachment Inherited visual impairments Chronic eye infections or inflammation Cataracts that significantly impair vision Neurological conditions affecting vision

Key Symptoms: Loss of vision in one or both eyes Complete blindness in the right eye (category 5) Low vision in the left eye (category 2) Difficulty seeing details, especially in low-light conditions Reduced ability to distinguish objects or colors Visual distortion or blind spots Difficulty recognizing faces or reading small print Eyes may appear normal, but vision is significantly impaired

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a comprehensive eye examination by an eye care professional. Tests may include visual acuity assessments, slit-lamp examination, ophthalmoscopy, and visual field testing. These evaluations help determine the degree and category of visual impairment, confirming the classification as per ICD-10 standards. Imaging studies might be used to assess underlying retinal or optic nerve conditions. The categorization, such as category 5 for blindness and category 2 for low vision, reflects the severity and functional impact of the impairments.

Treatment Protocols: Managing underlying conditions such as diabetes or glaucoma Surgical interventions for cataracts or retinal detachment Use of corrective lenses or low vision aids Rehabilitative therapy to maximize remaining vision Assistive devices for daily activities Counseling and support for adapting to vision changes Regular monitoring and follow-up with eye specialists

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H54.1152 a billable ICD-10 code?
Yes, H54.1152 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H54.1152?
Clinical documentation must specify the nature of Blindness right eye category 5, low vision left eye category 2 and any associated comorbidities for accurate reporting.

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