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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H53.8

Billable / Specific

Other visual disturbances

H53
Block
0
Synonyms
263
LCDs
25
Payer Policies
2
Linked CPTs

About ICD-10-CM H53.8

ICD-10-CM code H53.8 represents Other visual disturbances. This is a billable/specific code in the Eye and Adnexa chapter (block H53). The 2026 edition of ICD-10-CM H53.8 became effective on October 1, 2025.

Medicare LCD Coverage for H53.8

Local Coverage Determinations (LCDs) from CMS MACs that list H53.8 as a covered diagnosis.

263 LCDs

Showing top 10 of 263 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92201 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92250 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92202 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92227 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92228 →
CMS LCD: Billing and Coding: Electroretinography (ERG)
Article ID: 57677, Effective: 2024-10-01 00:00:00, 653 covered, 1 non-covered
CPT 92274 →
CMS LCD: Billing and Coding: Electroretinography (ERG)
Article ID: 57677, Effective: 2024-10-01 00:00:00, 653 covered, 1 non-covered
CPT 0509T →
CMS LCD: Billing and Coding: Electroretinography (ERG)
Article ID: 57677, Effective: 2024-10-01 00:00:00, 653 covered, 1 non-covered
CPT 92273 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93924 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93925 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H53.8.

25 policies

1 Cigna

Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542

5 Medicare

Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Visual Fields Testing
Policy ID: ART-56551
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography
Policy ID: ART-56631

CPT Codes Commonly Billed with H53.8

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • 70473 CMS LCD: Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP) CMS LCD
  • 70472 CMS LCD: Billing and Coding: Computed Tomography Cerebral Perfusion Analysis (CTP) CMS LCD

Convert H53.8 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H53.8 3688 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 H53.8, Billing FAQ

Is ICD-10 code H53.8 billable? +

Yes, H53.8 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with H53.8? +

Procedures frequently paired with H53.8 include: 70473, 70472.

What ICD-9 codes does H53.8 map to? +

Per CMS GEMs, H53.8 maps to ICD-9 codes: 3688. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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