H54.3 Unqualified visual loss, both eyes

The ICD-10-CM code for Unqualified visual loss, both eyes is H54.3 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

7: Diseases of the eye and adnexa (H00-H59)

Section

H53-H54: Visual disturbances and blindness (H53-H54)

Category H54

76 codes (44 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to H54.3:

• Loss (of) › vision, visual › both eyes
• Impaired, impairment (function) › vision NEC › both eyes

Inclusion Terms

• Visual impairment category 9 in both eyes.

U.S. Hospital Utilization

• An estimated 16,580 U.S. inpatient stays in 2023 included H54.3 among the documented diagnoses.
• 285 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Blindness/low vision—assign H54.3, H54.6-, or H54.7 as applicable

b. Blindness If “blindness” or “low vision” of both eyes is documented but the visual impairment category is not documented, assign code H54.3, Unqualified visual loss, both eyes. If “blindness” or “low vision” in one eye is documented but the visual impairment category is not documented, assign a code from H54.6-, Unqualified visual loss, one eye. If “blindness” or “visual loss” is documented without any information about whether one or both eyes are affected, assign code H54.7, Unspecified visual loss.

Glaucoma (TOC entry)

a. Glaucoma .............................................................................................................................. 48

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)

Cite This Page

Reference H54.3 with the canonical source and edition:

H54.3 — Unqualified visual loss, both eyes. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/H54.3

Canonical URL: https://icd10codingpro.com/codes/H54.3