H54.6 Unqualified visual loss, one eye

The ICD-10-CM code for Unqualified visual loss, one eye is H54.6 (FY2026). It is a non-billable category code — select a more specific code below for claims.

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

Inclusion Terms

• Visual impairment category 9 in one eye [normal vision in other eye].

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

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H54.6 — Unqualified visual loss, one eye. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/H54.6

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