H54.4
Blindness, one eye
H54.4 is a non-billable ICD-10-CM code header for blindness, one eye. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are H54.40 Blindness, one eye, unspecified eye; H54.41 Blindness, right eye, normal vision left eye and H54.42 Blindness, left eye, normal vision right eye. Its coding notes include a Code first instruction, 1 Excludes1 entry and 11 Excludes2 entries.
Guidelines tip
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
When blindness or low vision is documented without the visual impairment category, the code depends on whether one eye, both eyes or an unspecified number of eyes is affected.
Code first
If the underlying condition listed here is present and known, sequence it first.
- any associated underlying cause of the blindness
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (11 notes)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Inclusion terms
Conditions classified to this code.
- Visual impairment categories 3, 4, 5 in one eye [normal vision in other eye]
Notes
- For definition of visual impairment categories see table below
Also from chapter/block level (1 note)
- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition