ICD-10 Code H54.0X54 – Blindness right eye category 5, blindness left eye category 4 (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Blindness right eye category 5, blindness left eye category 4 is H54.0X54.
2026 ICD-10-CM Diagnosis Code H54.0X54 – Blindness right eye category 5, blindness left eye category 4

What it is

This code identifies severe visual loss in the right eye, classified as category 5 blindness, with category 4 blindness in the left eye. Use it when documentation specifies this exact bilateral vision status.

Clinical signs

Clinical features vary; refer to documentation. The record should clearly show profound impairment in the right eye and severe impairment in the left eye consistent with the stated blindness categories.

When to use this code

Use this code when the provider documents blindness category 5 in the right eye and category 4 in the left eye. It is appropriate for ophthalmology notes, problem lists, or assessments that specify both eyes separately. Check documentation if laterality or category is unclear.

Do not use for

Do not use this code for unspecified blindness, partial visual loss, or a different eye-category combination. If the chart does not state both eye categories, check documentation before coding.

Coding tip

Verify laterality and category wording exactly as documented, because small differences can change the ICD-10 code.

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