ICD-10 Code H54.0X44 – Blindness right eye category 4, blindness left eye category 4 (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H54.0X44 – Blindness right eye category 4, blindness left eye category 4
What it is
This code identifies severe visual loss in both eyes, with each eye classified as category 4 blindness. Use it when documentation specifies this exact bilateral level of blindness.
Clinical signs
Findings usually show profound vision loss consistent with category 4 impairment. Clinical features vary; refer to documentation for the recorded visual category in each eye.
When to use this code
Use H54.0X44 when the provider documents blindness in the right eye and left eye, both at category 4. It is appropriate for ophthalmology, vision rehabilitation, or problem-list documentation when the severity is clearly stated. Check documentation if the note uses older terminology or does not specify both eyes.
Do not use for
Do not use this code for unilateral blindness, mixed severity, or visual impairment that is not documented as category 4 in both eyes. Check documentation if the record says low vision, legal blindness, or unspecified blindness.
Coding tip
Code only when the chart clearly states category 4 blindness in both eyes; otherwise, query for clarification.