ICD-10 Code H53.413 – Scotoma involving central area, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H53.413 – Scotoma involving central area, bilateral
What it is
H53.413 identifies a bilateral scotoma in the central visual field. In plain terms, the patient has a blind spot or area of reduced vision affecting the center of vision in both eyes.
Clinical signs
Typical findings include missing or blurred central vision, difficulty reading, and trouble recognizing faces. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents a central scotoma affecting both eyes, or equivalent wording such as bilateral central blind spots. It fits cases confirmed by visual field testing or specialist assessment when the diagnosis is specifically bilateral. Check documentation if laterality or location is unclear.
Do not use for
Do not use it for unilateral scotoma, peripheral field loss, or nonspecific visual disturbance. If the record does not clearly state central involvement and bilateral laterality, check documentation.
Coding tip
Code only when both the central location and bilateral laterality are documented explicitly.