ICD-10 Code H53.453 – Other localized visual field defect, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H53.453 – Other localized visual field defect, bilateral
What it is
This code identifies a localized loss or reduction in the visual field in both eyes that does not fit a more specific diagnosis. It describes a bilateral field defect, not a general decrease in vision.
Clinical signs
Patients may report missing areas of vision, trouble noticing objects in parts of the visual field, or bumping into things. Clinical features vary; refer to documentation and formal visual field testing.
When to use this code
Use H53.453 when the record documents a bilateral localized visual field defect and the provider does not name a more specific cause or type. It is appropriate for confirmed field loss on exam or perimetry when both eyes are affected. Check documentation if the defect is due to another eye disorder.
Do not use for
Do not use this code for generalized low vision, unilateral field loss, or a visual field defect already classified elsewhere. If the chart only says “vision changes” without field findings, check documentation.
Coding tip
Confirm that the defect is bilateral and localized before assigning H53.453.