ICD Code H54-

ICD code H54- is used to indicate blindness and low vision, covering various degrees of visual impairment in one or both eyes.

1. Documented reduction in visual acuity in one or both eyes, not correctable to normal vision with standard refractive correction.

2. Visual field loss present, with constriction or central field defects impacting daily functioning.

3. Clinical evidence of blindness or severe visual impairment, as determined by standardized visual acuity and field testing.

4. Diagnosis confirmed by an ophthalmologist or optometrist, with supporting examination findings.

5. Symptoms may include inability to recognize faces, difficulty reading standard print, impaired mobility due to vision loss, or reliance on assistive devices for visual tasks.

Relevant CPT codes that may be used to treat ICD code H54- include:

- 92002: Ophthalmological services; medical examination and evaluation, new patient, initial

- 92004: Ophthalmological services; comprehensive, new patient, one or more visits

- 92012: Ophthalmological services; medical examination and evaluation, established patient, intermediate

- 92014: Ophthalmological services; comprehensive, established patient, one or more visits

- 92133: Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; optic nerve

- 92134: Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina

- 92250: Fundus photography with interpretation and report

- 92506: Evaluation of speech, language, voice, communication, and/or auditory processing

- 96116: Neurobehavioral status exam (clinical assessment of thinking, reasoning, and judgment)

- 97535: Self-care/home management training (e.g., activities of daily living)

- 97110: Therapeutic exercises to develop strength and endurance, range of motion, and flexibility

CPT code selection should be based on the specific services provided and clinical documentation.

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