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

ICD-10 H54.7

Billable / Specific

Unspecified visual loss

H54
Block
1
Synonyms
116
LCDs
12
Payer Policies
0
Linked CPTs

About ICD-10-CM H54.7

ICD-10-CM code H54.7 represents Unspecified visual loss. This is a billable/specific code in the Eye and Adnexa chapter (block H54). The 2026 edition of ICD-10-CM H54.7 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under H54.7. Per CMS ICD-10-CM Tabular 2026.

  • Visual impairment category 9 NOS

Medicare LCD Coverage for H54.7

Local Coverage Determinations (LCDs) from CMS MACs that list H54.7 as a covered diagnosis.

116 LCDs

Showing top 10 of 116 total . Click a CPT for full coverage scope.

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: Physical Therapy - Home Health
Article ID: 57311, Effective: 2025-10-01 00:00:00, 14836 covered, 0 non-covered
CPT 97755 →
CMS LCD: Billing and Coding: Physical Therapy - Home Health
Article ID: 57311, Effective: 2025-10-01 00:00:00, 14836 covered, 0 non-covered
CPT 98966 →
CMS LCD: Billing and Coding: Physical Therapy - Home Health
Article ID: 57311, Effective: 2025-10-01 00:00:00, 14836 covered, 0 non-covered
CPT G0329 →
CMS LCD: Billing and Coding: Physical Therapy - Home Health
Article ID: 57311, Effective: 2025-10-01 00:00:00, 14836 covered, 0 non-covered
CPT 97022 →
CMS LCD: Billing and Coding: Physical Therapy - Home Health
Article ID: 57311, Effective: 2025-10-01 00:00:00, 14836 covered, 0 non-covered
CPT 97112 →
CMS LCD: Billing and Coding: Physical Therapy - Home Health
Article ID: 57311, Effective: 2025-10-01 00:00:00, 14836 covered, 0 non-covered
CPT 97034 →
CMS LCD: Billing and Coding: Physical Therapy - Home Health
Article ID: 57311, Effective: 2025-10-01 00:00:00, 14836 covered, 0 non-covered
CPT 97542 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H54.7.

12 policies

1 Cigna

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

5 Medicare

Billing and Coding: Visual Fields Testing
Policy ID: ART-56551
Billing and Coding: Electroretinography (ERG)
Policy ID: ART-56672
Billing and Coding: Intravenous Immunoglobulin (IVIG)
Policy ID: ART-56718
Billing and Coding: Visual Fields Testing
Policy ID: ART-56799
Billing and Coding: Visual Electrophysiology Testing
Policy ID: ART-57060

1 Aetna

Cardiovascular Disease Risk Tests
Policy ID: CPB-0381

CPT Codes Commonly Billed with H54.7

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

No procedure linkages on file for H54.7

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.

Convert H54.7 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H54.7 3699 10000
H54.7 V410 10000

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

ICD-10 H54.7, Billing FAQ

Is ICD-10 code H54.7 billable? +

Yes, H54.7 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to H54.7? +

ICD-10 H54.7 includes: Visual impairment category 9 NOS.

What ICD-9 codes does H54.7 map to? +

Per CMS GEMs, H54.7 maps to ICD-9 codes: 3699, V410. 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 May 31, 2026.

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