ICD-10 Code H54.0X45 – Blindness right eye category 4, blindness left eye category 5 (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H54.0X45 – Blindness right eye category 4, blindness left eye category 5
What it is
This code identifies severe vision loss in both eyes, with the right eye in category 4 blindness and the left eye in category 5 blindness. Use it when documentation specifies these exact laterality and severity categories.
Clinical signs
Clinical features vary; refer to documentation. Patients typically have profound visual impairment, with very limited or no useful vision in the affected eyes, and exam findings should support the recorded blindness categories.
When to use this code
Use H54.0X45 when the record clearly states blindness in the right eye category 4 and blindness in the left eye category 5. It may appear in ophthalmology notes, problem lists, or disability documentation when the severity is specified. Check documentation if the chart uses older terminology or does not separate each eye.
Do not use for
Do not use this code for unspecified blindness, low vision, or visual impairment that does not match these categories. If the laterality or category is unclear, check documentation and code the documented condition instead.
Coding tip
Always confirm both eyes and the exact blindness categories before assigning H54.0X45.