ICD-10-CM Billable Code

H54.2

Low vision, both eyes

Clinical Classification Guidelines

Inclusion Terms

  • Visual impairment categories 1 or 2 in both eyes.

Medical Intelligence & Overview

Low vision in both eyes, classified under ICD-10 code H54.2, refers to a significant visual impairment that cannot be corrected fully with glasses, contact lenses, medication, or surgery. This condition affects daily activities and quality of life, as it limits the ability to see clearly even when using best available correction. People with low vision may have some usable sight but face challenges with tasks like reading, recognizing faces, or navigating environments. Understanding the causes, symptoms, diagnosis, and management options can help individuals adapt and make informed decisions about their visual health.

Causes & Symptoms

Clinical Causes: Age-related macular degeneration (AMD) Diabetic retinopathy Glaucoma Retinitis pigmentosa Optic nerve damage Corneal scars or opacities Cataracts that are not fully corrected Injuries or trauma to the eye Neurological conditions affecting vision Chronic eye infections leading to damage

Key Symptoms: Poor visual acuity despite corrective lenses Increased difficulty reading small print Difficulty recognizing faces or objects at a distance Loss of contrast sensitivity (difficulty distinguishing objects from the background) Difficulty adapting to low light or glare Need to rely on other senses more than usual In some cases, visual field loss or blind spots

Diagnostic & Treatment

Diagnosis Path: Diagnosing low vision involves a comprehensive eye examination conducted by an eye care professional. The process includes:

Treatment Protocols: While low vision is generally not correctable with standard glasses or medical treatments, various strategies can help maximize remaining vision and improve quality of life:

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 H54.2 a billable ICD-10 code?
Yes, H54.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H54.2?
Clinical documentation must specify the nature of Low vision, both eyes and any associated comorbidities for accurate reporting.

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