ICD-10-CM Billable Code

H54.1213

Low vision right eye category 1, blindness left eye category 3

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code H54.1213 describes a condition where an individual experiences low vision in the right eye categorized as Category 1, and blindness in the left eye categorized as Category 3. This classification helps healthcare professionals document and manage visual impairments, guiding appropriate support and treatment plans. Low vision and blindness can significantly impact daily life, influencing mobility, independence, and quality of life.

Causes & Symptoms

Clinical Causes: Age-related macular degeneration Diabetic retinopathy Glaucoma Retinal detachment Optic nerve damage Injuries or trauma to the eye or head Inherited eye conditions Corneal scars or opacities Chronic eye infections or inflammations Neurological conditions affecting visual pathways

Key Symptoms: Decreased sharpness of vision Difficulty seeing fine details Blurred or hazy vision Reduced contrast sensitivity Difficulty adapting to low light conditions Partial or complete loss of vision in one or both eyes Visual distortions or irregularities Impaired depth perception Increased fatigue when using eyes for extended periods

Diagnostic & Treatment

Diagnosis Path: Diagnosing visual impairment involves comprehensive eye examinations, which include:

Treatment Protocols: Management of low vision and blindness focuses on maximizing remaining sight, adapting to visual limitations, and supporting independence. Treatment options may include:

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 H54.1213 a billable ICD-10 code?
Yes, H54.1213 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H54.1213?
Clinical documentation must specify the nature of Low vision right eye category 1, blindness left eye category 3 and any associated comorbidities for accurate reporting.

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