Category: H54 - Blindness and low vision

 Chapter Notes

 H54

Blindness and low vision

For definition of visual impairment categories see table below

Code first any associated underlying cause of the blindness

amaurosis fugax (G45.3)

 H54.0

Blindness, both eyes

Visual impairment categories 3, 4, 5 in both eyes.

 H54.0X

Blindness, both eyes, different category levels

 H54.0X3

Blindness right eye, category 3

 H54.0X33

Blindness right eye category 3, blindness left eye category 3

 H54.0X34

Blindness right eye category 3, blindness left eye category 4

 H54.0X35

Blindness right eye category 3, blindness left eye category 5

 H54.0X4

Blindness right eye, category 4

 H54.0X43

Blindness right eye category 4, blindness left eye category 3

 H54.0X44

Blindness right eye category 4, blindness left eye category 4

 H54.0X45

Blindness right eye category 4, blindness left eye category 5

 H54.0X5

Blindness right eye, category 5

 H54.0X53

Blindness right eye category 5, blindness left eye category 3

 H54.0X54

Blindness right eye category 5, blindness left eye category 4

 H54.0X55

Blindness right eye category 5, blindness left eye category 5

 H54.1

Blindness, one eye, low vision other eye

Visual impairment categories 3, 4, 5 in one eye, with categories 1 or 2 in the other eye.

 H54.10

Blindness, one eye, low vision other eye, unspecified eyes

 H54.11

Blindness, right eye, low vision left eye

 H54.113

Blindness right eye category 3, low vision left eye

 H54.1131

Blindness right eye category 3, low vision left eye category 1

 H54.1132

Blindness right eye category 3, low vision left eye category 2

 H54.114

Blindness right eye category 4, low vision left eye

 H54.1141

Blindness right eye category 4, low vision left eye category 1

 H54.1142

Blindness right eye category 4, low vision left eye category 2

 H54.115

Blindness right eye category 5, low vision left eye

 H54.1151

Blindness right eye category 5, low vision left eye category 1

 H54.1152

Blindness right eye category 5, low vision left eye category 2

 H54.12

Blindness, left eye, low vision right eye

 H54.121

Low vision right eye category 1, blindness left eye

 H54.1213

Low vision right eye category 1, blindness left eye category 3

 H54.1214

Low vision right eye category 1, blindness left eye category 4

 H54.1215

Low vision right eye category 1, blindness left eye category 5

 H54.122

Low vision right eye category 2, blindness left eye

 H54.1223

Low vision right eye category 2, blindness left eye category 3

 H54.1224

Low vision right eye category 2, blindness left eye category 4

 H54.1225

Low vision right eye category 2, blindness left eye category 5

 H54.2

Low vision, both eyes

Visual impairment categories 1 or 2 in both eyes.

 H54.2X

Low vision, both eyes, different category levels

 H54.2X1

Low vision, right eye, category 1

 H54.2X11

Low vision right eye category 1, low vision left eye category 1

 H54.2X12

Low vision right eye category 1, low vision left eye category 2

 H54.2X2

Low vision, right eye, category 2

 H54.2X21

Low vision right eye category 2, low vision left eye category 1

 H54.2X22

Low vision right eye category 2, low vision left eye category 2

 H54.3

Unqualified visual loss, both eyes

Visual impairment category 9 in both eyes.

 H54.4

Blindness, one eye

Visual impairment categories 3, 4, 5 in one eye [normal vision in other eye]

 H54.40

Blindness, one eye, unspecified eye

 H54.41

Blindness, right eye, normal vision left eye

 H54.413

Blindness, right eye, category 3

 H54.413A

Blindness right eye category 3, normal vision left eye

 H54.414

Blindness, right eye, category 4

 H54.414A

Blindness right eye category 4, normal vision left eye

 H54.415

Blindness, right eye, category 5

 H54.415A

Blindness right eye category 5, normal vision left eye

 H54.42

Blindness, left eye, normal vision right eye

 H54.42A

Blindness, left eye, category 3-5

 H54.42A3

Blindness left eye category 3, normal vision right eye

 H54.42A4

Blindness left eye category 4, normal vision right eye

 H54.42A5

Blindness left eye category 5, normal vision right eye

 H54.5

Low vision, one eye

Visual impairment categories 1 or 2 in one eye [normal vision in other eye].

 H54.50

Low vision, one eye, unspecified eye

 H54.51

Low vision, right eye, normal vision left eye

 H54.511

Low vision, right eye, category 1-2

 H54.511A

Low vision right eye category 1, normal vision left eye

 H54.512A

Low vision right eye category 2, normal vision left eye

 H54.52

Low vision, left eye, normal vision right eye

 H54.52A

Low vision, left eye, category 1-2

 H54.52A1

Low vision left eye category 1, normal vision right eye

 H54.52A2

Low vision left eye category 2, normal vision right eye

 H54.6

Unqualified visual loss, one eye

Visual impairment category 9 in one eye [normal vision in other eye].

 H54.60

Unqualified visual loss, one eye, unspecified

 H54.61

Unqualified visual loss, right eye, normal vision left eye

 H54.62

Unqualified visual loss, left eye, normal vision right eye

 H54.7

Unspecified visual loss

Visual impairment category 9 NOS

 H54.8

Legal blindness, as defined in USA

Blindness NOS according to USA definition

legal blindness with specification of impairment level (H54.0-H54.7)

The table below gives a classification of severity of visual impairment recommended by a WHO Study Group on the Prevention of Blindness, Geneva, 6-10 November 1972.

The term 'low vision' in category H54 comprises categories 1 and 2 of the table, the term 'blindness' categories 3, 4 and 5, and the term 'unqualified visual loss' category 9.

If the extent of the visual field is taken into account, patients with a field no greater than 10 but greater than 5 around central fixation should be placed in category 3 and patients with a field no greater than 5 around central fixation should be placed in category 4, even if the central acuity is not impaired.

Category of visual impairmentVisual acuity with best possible correction
 Maximum less than:Minimum equal to or better than:
   
 6/186/60
13/10 (0.3)1/10 (0.1)
 20/7020/200
   
 6/603/60
21/10 (0.1)1/20 (0.05)
 20/20020/400
   
 3/601/60 (finger counting at one meter)
31/20 (0.05)1/50 (0.02)
 20/4005/300 (20/1200)
   
 1/60 (finger counting at one meter)Light perception
41/50 (0.02) 
 5/300 
   
5No light perception 
   
9Undetermined or unspecified