H54.1215 Low vision right eye category 1, blindness left eye category 5

Billable ICD-10-CM code, FY2026.

Applies from H54 Blindness and low vision

Excludes1 (never code together)

• amaurosis fugax (G45.3)

Code first

• any associated underlying cause of the blindness

Notes

• For definition of visual impairment categories see table below

Applies from H54.1 Blindness, one eye, low vision other eye

Applicable to

• Visual impairment categories 3, 4, 5 in one eye, with categories 1 or 2 in the other eye.

MS-DRG index

Defines the logic of DRG(s) 124-125 in MDC 02.

Approximate ICD-9-CM (GEMs)

• 369.16 Better eye: moderate vision impairment; lesser eye: total vision impairment (approximate)

Code annotations containing back-references to H54.1215

Back-references to H54.1

• Type 1 Excludes: H54.8 Legal blindness, as defined in USA ("legal blindness with specification of impairment level (H54.0-H54.7)")

Back-references to H54

• Use Additional: S04.0 Injury of optic nerve and pathways ("code to identify any visual field defect or blindness (H53.4-, H54.-)")

Nearby codes

• H54.1152 Blindness right eye category 5, low vision left eye category 2
• H54.12 Blindness, left eye, low vision right eye
• H54.121 Low vision right eye category 1, blindness left eye
• H54.1213 Low vision right eye category 1, blindness left eye category 3
• H54.1214 Low vision right eye category 1, blindness left eye category 4
• H54.1215 Low vision right eye category 1, blindness left eye category 5 (this code)
• H54.122 Low vision right eye category 2, blindness left eye
• H54.1223 Low vision right eye category 2, blindness left eye category 3
• H54.1224 Low vision right eye category 2, blindness left eye category 4
• H54.1225 Low vision right eye category 2, blindness left eye category 5
• H54.2 Low vision, both eyes