ICD-10-CM Billable Code

H54.2X2

Low vision, right eye, category 2

Clinical Classification Guidelines

Medical Intelligence & Overview

Low vision refers to a significant visual impairment that cannot be fully corrected with glasses, contact lenses, medication, or surgery. When it affects only one eye—such as the right eye in case of category 2—individuals may face challenges with clarity, depth perception, and overall visual function. This condition can impact daily activities like reading, driving, and recognizing faces, but many people adapt with proper support and adjustments.

Causes & Symptoms

Clinical Causes: Age-related macular degeneration Diagonal or traumatic eye injuries Diabetic retinopathy Cataracts affecting the visual acuity of one eye Optic nerve diseases such as glaucoma Retinal detachment or degeneration Previous eye surgeries or radiation therapy

Key Symptoms: Reduced clarity or sharpness in the affected eye Difficulty seeing objects clearly at any distance Problems with depth perception Difficulty distinguishing fine details Sensitivity to light and glare Partial or total loss of vision in the affected eye Trouble with visual tasks that require precise sight

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves comprehensive eye examinations, including visual acuity tests, refraction assessments, and detailed retinal imaging. Eye care professionals may also perform visual field tests to determine the extent of visual impairment in the right eye. A thorough medical history and evaluation of any underlying conditions help in establishing the cause of low vision.

Treatment Protocols: Prescription low vision aids, such as magnifiers and telescopes Adaptive devices for reading and daily living Training in visual skills to improve function Management of underlying health conditions like diabetes or high blood pressure Rehabilitation services to assist with adapting to visual deficits Surgical options in specific cases, such as cataract removal or retinal repairs

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 H54.2X2 a billable ICD-10 code?
Yes, H54.2X2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H54.2X2?
Clinical documentation must specify the nature of Low vision, right eye, category 2 and any associated comorbidities for accurate reporting.

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