ICD-10-CM Billable Code

H54.1223

Low vision right eye category 2, blindness left eye category 3

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code H54.1223 describes a specific vision condition involving low vision in the right eye and blindness in the left eye. This classification helps healthcare professionals document and manage visual impairments, which can significantly impact daily life. Low vision and blindness are terms that encompass varying degrees of visual impairment, and understanding these conditions can aid in seeking appropriate support and accommodations.

Causes & Symptoms

Clinical Causes: Age-related macular degeneration Glaucoma Diabetic retinopathy Retinal detachment Corneal scars or opacities Severe infections or inflammations of the eye Trauma or injury to the eyes Genetic conditions affecting vision Optic nerve diseases

Key Symptoms: Difficulty seeing details clearly in the affected eye Reduced visual acuity that cannot be corrected with glasses or contact lenses Poor contrast sensitivity Difficulty recognizing faces or objects at a distance or close range Visual field loss or constriction Increased reliance on other senses for daily activities Visual discomfort or eye strain in some cases

Diagnostic & Treatment

Diagnosis Path: Diagnosis of low vision and blindness involves a comprehensive eye examination, which may include visual acuity tests, visual field tests, and imaging techniques like optical coherence tomography (OCT). An ophthalmologist assesses the extent of visual impairment and determines the specific category of vision loss according to standard classifications. Additional tests might be conducted to identify underlying causes and guide management.

Treatment Protocols: While some causes of vision impairment are irreversible, various approaches can help maximize remaining vision and improve quality of life. 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 H54.1223 a billable ICD-10 code?
Yes, H54.1223 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H54.1223?
Clinical documentation must specify the nature of Low vision right eye category 2, blindness left eye category 3 and any associated comorbidities for accurate reporting.

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