H54.511ALow vision right eye category 1, normal vision left eye

H54.511A is the ICD-10-CM diagnosis code for low vision right eye category 1, normal vision left eye. 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.

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 was added in FY2018, effective October 1, 2017.

Before ICD-10, this condition was coded in ICD-9-CM as 369.76 (one eye: moderate vision impairment; other eye: normal vision).