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ICD-10-CM 2027 diagnosis code

H54.3Unqualified visual loss, both eyes

✓ Billable / specific

H54.3 is a valid, billable ICD-10-CM code for unqualified visual loss, both eyes. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About H54.3

H54.3 is the ICD-10-CM diagnosis code for unqualified visual loss, both eyes. It belongs to category H54 (blindness and low vision), block H53-H54 (visual disturbances and blindness) and chapter 7 (diseases of the eye and adnexa). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within H54 (blindness and low vision), H54.3 is specifically for unqualified visual loss, both eyes. Related codes cover blindness, both eyes (H54.0), blindness, one eye, low vision other eye (H54.1), low vision, both eyes (H54.2), blindness, one eye (H54.4), low vision, one eye (H54.5), unqualified visual loss, one eye (H54.6), unspecified visual loss (H54.7) and legal blindness, as defined in USA (H54.8).

Code first: any associated underlying cause of the blindness.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 124 (Other Disorders of the Eye with MCC or Thrombolytic Agent, relative weight 1.2471) and DRG 125 (Other Disorders of the Eye without MCC, relative weight 0.7702), in MDC 02 (Diseases and Disorders of the Eye), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 369.3 (unqualified visual loss, both eyes).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Visual impairment category 9 in both eyes.

Notes that apply from higher levels

Instructions written at a parent level also apply to H54.3.

› From H54 Blindness and low vision
Note
  • For definition of visual impairment categories see table below
Excludes1
Code first
  • any associated underlying cause of the blindness

Broader instructions also apply from Chapter 7: Diseases of the eye and adnexa.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to H54.3.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 369.3Unqualified visual loss, both eyesexact

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about H54.3

Is H54.3 billable?

Yes. H54.3 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can H54.3 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict H54.3 as a principal diagnosis.

Is H54.3 a CC or MCC?

No. H54.3 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does H54.3 group to?

H54.3 is used in the MS-DRG v44.0 logic for MS-DRG 124 (Other Disorders of the Eye with MCC or Thrombolytic Agent) and MS-DRG 125 (Other Disorders of the Eye without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for H54.3?

The CMS General Equivalence Mappings map H54.3 to ICD-9-CM 369.3.