InnovaRx Innova Health Strategies

H54.8

Legal blindness, as defined in USA

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 13 never code together
H54code
Excludes1
  • amaurosis fugax (G45.3)G45.3
H54.8code
Excludes1
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 7
H54code
Notes
  • For definition of visual impairment categories see table below
Code first
  • any associated underlying cause of the blindness
H54.8code
Notes
  • The table below gives a classification of severity of visual impairment recommended by a WHO Study Group on the Prevention of Blindness, Geneva, 6-10 November 1972.
  • The term 'low vision' in category H54 comprises categories 1 and 2 of the table, the term 'blindness' categories 3, 4 and 5, and the term 'unqualified visual loss' category 9.H54H54
  • If the extent of the visual field is taken into account, patients with a field no greater than 10 but greater than 5 around central fixation should be placed in category 3 and patients with a field no greater than 5 around central fixation should be placed in category 4, even if the central acuity is not impaired.
Inclusion terms
  • Blindness NOS according to USA definition
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
  • Blindness (acquired) (congenital) (both eyes) H54.0X
    • legal (both eyes) (USA definition) H54.8
Alongside this code 8 same parent — H54
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
H54
Block
H53-H54
Siblings
8

Present FY2024–FY2027.