ICD-10 · PDGM grouping
H53 Visual disturbances
All 84 codes in the H53 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
84
Can lead a claim
65
Cannot lead a claim
19
What CMS assigns to H53
65 of the 84 codes group to MMTA - Other; 19 are assigned no clinical group. None of the 84 is assigned a comorbidity subgroup. 65 of the 84 can lead a claim.
Every code in H53
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| H53.0 Amblyopia ex anopsia | ||||
| H53.00 Unspecified amblyopia | ||||
| H53.001 | Unspecified amblyopia, right eye | Can lead a claim | A | None |
| H53.002 | Unspecified amblyopia, left eye | Can lead a claim | A | None |
| H53.003 | Unspecified amblyopia, bilateral | Can lead a claim | A | None |
| H53.009 | Unspecified amblyopia, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.01 Deprivation amblyopia | ||||
| H53.011 | Deprivation amblyopia, right eye | Can lead a claim | A | None |
| H53.012 | Deprivation amblyopia, left eye | Can lead a claim | A | None |
| H53.013 | Deprivation amblyopia, bilateral | Can lead a claim | A | None |
| H53.019 | Deprivation amblyopia, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.02 Refractive amblyopia | ||||
| H53.021 | Refractive amblyopia, right eye | Can lead a claim | A | None |
| H53.022 | Refractive amblyopia, left eye | Can lead a claim | A | None |
| H53.023 | Refractive amblyopia, bilateral | Can lead a claim | A | None |
| H53.029 | Refractive amblyopia, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.03 Strabismic amblyopia | ||||
| H53.031 | Strabismic amblyopia, right eye | Can lead a claim | A | None |
| H53.032 | Strabismic amblyopia, left eye | Can lead a claim | A | None |
| H53.033 | Strabismic amblyopia, bilateral | Can lead a claim | A | None |
| H53.039 | Strabismic amblyopia, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.04 Amblyopia suspect | ||||
| H53.041 | Amblyopia suspect, right eye | Can lead a claim | A | None |
| H53.042 | Amblyopia suspect, left eye | Can lead a claim | A | None |
| H53.043 | Amblyopia suspect, bilateral | Can lead a claim | A | None |
| H53.049 | Amblyopia suspect, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.1 Subjective visual disturbances | ||||
| H53.10 | Unspecified subjective visual disturbances | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.11 | Day blindness | Can lead a claim | A | None |
| H53.12 Transient visual loss | ||||
| H53.121 | Transient visual loss, right eye | Can lead a claim | A | None |
| H53.122 | Transient visual loss, left eye | Can lead a claim | A | None |
| H53.123 | Transient visual loss, bilateral | Can lead a claim | A | None |
| H53.129 | Transient visual loss, unspecified eye | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H53.13 Sudden visual loss | ||||
| H53.131 | Sudden visual loss, right eye | Can lead a claim | A | None |
| H53.132 | Sudden visual loss, left eye | Can lead a claim | A | None |
| H53.133 | Sudden visual loss, bilateral | Can lead a claim | A | None |
| H53.139 | Sudden visual loss, unspecified eye | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H53.14 Visual discomfort | ||||
| H53.141 | Visual discomfort, right eye | Can lead a claim | A | None |
| H53.142 | Visual discomfort, left eye | Can lead a claim | A | None |
| H53.143 | Visual discomfort, bilateral | Can lead a claim | A | None |
| H53.149 | Visual discomfort, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.15 | Visual distortions of shape and size | Can lead a claim | A | None |
| H53.16 | Psychophysical visual disturbances | Can lead a claim | A | None |
| H53.19 | Other subjective visual disturbances | Can lead a claim | A | None |
| H53.2 | Diplopia | Can lead a claim | A | None |
| H53.3 Other and unspecified disorders of binocular vision | ||||
| H53.30 | Unspecified disorder of binocular vision | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.31 | Abnormal retinal correspondence | Can lead a claim | A | None |
| H53.32 | Fusion with defective stereopsis | Can lead a claim | A | None |
| H53.33 | Simultaneous visual perception without fusion | Can lead a claim | A | None |
| H53.34 | Suppression of binocular vision | Can lead a claim | A | None |
| H53.4 Visual field defects | ||||
| H53.40 | Unspecified visual field defects | Can lead a claim | A | None |
| H53.41 Scotoma involving central area | ||||
| H53.411 | Scotoma involving central area, right eye | Can lead a claim | A | None |
| H53.412 | Scotoma involving central area, left eye | Can lead a claim | A | None |
| H53.413 | Scotoma involving central area, bilateral | Can lead a claim | A | None |
| H53.419 | Scotoma involving central area, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.42 Scotoma of blind spot area | ||||
| H53.421 | Scotoma of blind spot area, right eye | Can lead a claim | A | None |
| H53.422 | Scotoma of blind spot area, left eye | Can lead a claim | A | None |
| H53.423 | Scotoma of blind spot area, bilateral | Can lead a claim | A | None |
| H53.429 | Scotoma of blind spot area, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.43 Sector or arcuate defects | ||||
| H53.431 | Sector or arcuate defects, right eye | Can lead a claim | A | None |
| H53.432 | Sector or arcuate defects, left eye | Can lead a claim | A | None |
| H53.433 | Sector or arcuate defects, bilateral | Can lead a claim | A | None |
| H53.439 | Sector or arcuate defects, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.45 Other localized visual field defect | ||||
| H53.451 | Other localized visual field defect, right eye | Can lead a claim | A | None |
| H53.452 | Other localized visual field defect, left eye | Can lead a claim | A | None |
| H53.453 | Other localized visual field defect, bilateral | Can lead a claim | A | None |
| H53.459 | Other localized visual field defect, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.46 Homonymous bilateral field defects | ||||
| H53.461 | Homonymous bilateral field defects, right side | Can lead a claim | A | None |
| H53.462 | Homonymous bilateral field defects, left side | Can lead a claim | A | None |
| H53.469 | Homonymous bilateral field defects, unspecified side | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.47 | Heteronymous bilateral field defects | Can lead a claim | A | None |
| H53.48 Generalized contraction of visual field | ||||
| H53.481 | Generalized contraction of visual field, right eye | Can lead a claim | A | None |
| H53.482 | Generalized contraction of visual field, left eye | Can lead a claim | A | None |
| H53.483 | Generalized contraction of visual field, bilateral | Can lead a claim | A | None |
| H53.489 | Generalized contraction of visual field, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.5 Color vision deficiencies | ||||
| H53.50 | Unspecified color vision deficiencies | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.51 | Achromatopsia | Can lead a claim | A | None |
| H53.52 | Acquired color vision deficiency | Can lead a claim | A | None |
| H53.53 | Deuteranomaly | Can lead a claim | A | None |
| H53.54 | Protanomaly | Can lead a claim | A | None |
| H53.55 | Tritanomaly | Can lead a claim | A | None |
| H53.59 | Other color vision deficiencies | Can lead a claim | A | None |
| H53.6 Night blindness | ||||
| H53.60 | Unspecified night blindness | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H53.61 | Abnormal dark adaptation curve | Can lead a claim | A | None |
| H53.62 | Acquired night blindness | Can lead a claim | A | None |
| H53.63 | Congenital night blindness | Can lead a claim | A | None |
| H53.69 | Other night blindness | Can lead a claim | A | None |
| H53.7 Vision sensitivity deficiencies | ||||
| H53.71 | Glare sensitivity | Can lead a claim | A | None |
| H53.72 | Impaired contrast sensitivity | Can lead a claim | A | None |
| H53.8 | Other visual disturbances | Can lead a claim | A | None |
| H53.9 | Unspecified visual disturbance | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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