ICD-10 H54.1131
Billable / SpecificBlindness right eye category 3, low vision left eye category 1
About ICD-10-CM H54.1131
ICD-10-CM code H54.1131 represents Blindness right eye category 3, low vision left eye category 1. This is a billable/specific code in the Eye and Adnexa chapter (block H54). The 2026 edition of ICD-10-CM H54.1131 became effective on October 1, 2025.
Medicare LCD Coverage for H54.1131
Local Coverage Determinations (LCDs) from CMS MACs that list H54.1131 as a covered diagnosis.
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Commercial Payer Coverage
Coverage policies from major commercial payers referencing H54.1131.
5 Medicare
CPT Codes Commonly Billed with H54.1131
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To H54.1131
Other codes in section H53-H54 (Visual disturbances and blindness).
ICD-10 H54.1131, Billing FAQ
Is ICD-10 code H54.1131 billable? +
Yes, H54.1131 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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