ICD-10 Code H52.4 – Presbyopia (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H52.4 – Presbyopia
What it is
Presbyopia is an age-related loss of near focusing ability caused by reduced lens elasticity. It commonly makes reading or close work harder, especially at normal arm’s length.
Clinical signs
Typical findings include difficulty reading small print, needing more light, or holding material farther away. Clinical features vary; refer to documentation.
When to use this code
Use H52.4 when the provider documents presbyopia as the reason for near-vision difficulty or routine refractive evaluation. It fits age-related accommodative change without another primary eye disorder explaining the complaint. If the record only says “blurred vision,” check documentation for the specific refractive diagnosis.
Do not use for
Do not use this code for myopia, hyperopia, astigmatism, or other refractive errors unless presbyopia is specifically documented. If another ocular condition is the main cause of visual symptoms, code that condition instead.
Coding tip
Verify that the note identifies presbyopia, not just near-vision complaints, before assigning H52.4.