ICD-10 Code H44.53 – Leucocoria (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H44.53 – Leucocoria
What it is
Leucocoria means a white pupillary reflex, where the pupil appears white instead of red. It is a clinical sign, not a diagnosis, and it can point to serious underlying eye disease.
Clinical signs
You may see an abnormal white reflection in the pupil on exam or in photographs. Clinical features vary; refer to documentation, but associated findings can include poor visual response or an abnormal retinal exam.
When to use this code
Use this code when the record documents leucocoria as the reason for the visit, exam finding, or assessment. It is appropriate when the clinician identifies a white pupillary reflex without naming a more specific underlying disorder. If a definite cause is documented, code that condition instead.
Do not use for
Do not use this code for normal red reflex findings or for unrelated ocular discoloration. Check documentation if the white reflex is explained by a more specific eye diagnosis.
Coding tip
Code leucocoria only when it is explicitly documented; otherwise, query for the underlying eye disorder.