InnovaRx Innova Health Strategies

H53.042

Amblyopia suspect, left eye

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 12 never code together
H53.0code
Excludes1
  • amblyopia due to vitamin A deficiency (E50.5)E50.5
H00-H59chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)E09.3-E10.3-E11.3-E13.3-
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury (trauma) of eye and orbit (S05.-)S05.-
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)A50.01A50.3-A51.43A52.71

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 1
H00-H59chapter
Notes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Index entries leading here 1
  • Amblyopia (congenital) (ex anopsia) (partial) (suppression) H53.00
Alongside this code 3 same parent — H53.04
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
H53.04
Block
H53-H54
Siblings
3

Present FY2024–FY2027.