H53.413 Scotoma involving central area, bilateral

ICD-10-CM Code H53.413: Scotoma involving central area, bilateral

ICD-10-CM code H53.413 identifies bilateral scotomas involving the central visual area. The code is an active, billable diagnosis without listed inclusion terms or additional coding instructions. Central field loss affects hazard detection, and this code appears in a Medicare billing article for ophthalmic diagnostic imaging. 1 2 3 4

Plain-language overview

Central visual field loss is a scotoma encompassing the fovea, and the official label for H53.413 specifies this visual finding as involving the central area, bilateral. 1 2

What this code represents

ICD-10-CM code H53.413 represents the specific finding of scotoma involving the central area, bilateral, and is classified with the semantic type of finding in the terminology system. 1

Coding details

Code H53.413 is a billable, specific diagnosis with no child codes, and it falls under parent concept H53.41 for scotoma involving the central area within Chapter 7. 1 4

The April 2026 reference record for H53.413 lists no inclusion terms, no code first instructions, and no use additional code instructions for this specific diagnosis. 4

Documentation considerations

Clinical research measures central visual field loss using binocular absolute central scotoma testing, which provides a specific method for documenting this visual finding. 2

Clinical context

Central visual field loss delays hazard detection, and scotoma size is a factor that predicts outcomes in blind areas, even when small eye movements might compensate for the visual loss. 2

Coverage and utilization context

Code H53.413 appears in a Medicare billing and coding article for scanning computerized ophthalmic diagnostic imaging alongside other visual disturbance codes. 3

What the sources add

While terminology records define H53.413 as an active diagnosis, clinical research establishes that central scotomas can significantly delay a person's reaction time to hazards in the affected visual field. 1 2

A comparison of sources shows the terminology record confirms the code's active status, while the Medicare billing article lists H53.413 alongside other scotoma codes within an ophthalmic imaging document. 1 3

Sources

1. ICD-10-CM H53.413 terminology record — National Cancer Institute Enterprise Vocabulary Services; accessed 2026-07-27.
2. Driving with central visual field loss I: Impact of central scotoma on response to hazards — pmc.ncbi.nlm.nih.gov; accessed 2026-07-27.
3. Article - Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) (A57804) — cms.gov; accessed 2026-07-27.
4. ICD-10-CM Code H53.413 | Vero — veroscribe.com; accessed 2026-07-27.