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H54.0X33
Blindness right eye category 3, blindness left eye category 3
ICD10CM code
Medical Policies and Guidelines for Blindness right eye category 3, blindness left eye category 3
Related policies from health plans
ANTHEM-BLUECROSS-CA
Jetrea (ocriplasmin)
ANTHEM-BLUECROSS-CA
Jetrea (ocriplasmin)
ANTHEM-BLUECROSS-CA
Keratoprosthesis
ANTHEM-BLUECROSS-CA
Visual, Somatosensory and Motor Evoked Potentials
ANTHEM-BLUECROSS-CT
CG-MED-50 Visual, Somatosensory and Motor Evoked Potentials
ANTHEM-BLUECROSS-CT
CG-SURG-94 Keratoprosthesis
Similar Codes
ICD10CM codes
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
H54.0X53
- Blindness right eye category 5, blindness left eye category 3
H54.0X43
- Blindness right eye category 4, blindness left eye category 3
H54.0X3
- Blindness right eye, category 3
H54.1131
- Blindness right eye category 3, low vision left eye category 1
H54.413
- Blindness, right eye, category 3
H54.1132
- Blindness right eye category 3, low vision left eye category 2
H54.113
- Blindness right eye category 3, low vision left eye
HCPCS codes
V2629
- Prosthetic eye, other type
C1784
- Ocular device, intraoperative, detached retina
S0596
- Phakic intraocular lens for correction of refractive error
V2623
- Prosthetic eye, plastic, custom
V2799
- Vision item or service, miscellaneous
G0117
- Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist
V2610
- Single lens spectacle mounted low vision aids
G2102
- Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and rev
C1780
- Lens, intraocular (new technology)
A6412
- Eye patch, occlusive, each
CPT4 codes
92132
- Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and repor
92133
- Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and repo
92134
- Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and repo
92227
- Imaging of retina for detection or monitoring of disease; with remote clinical staff review and repo
95933
- Orbicularis oculi (blink) reflex, by electrodiagnostic testing
66150
- Fistulization of sclera for glaucoma; trephination with iridectomy
99173
- Screening test of visual acuity, quantitative, bilateral
92135
- Scanning computerized ophthalmic diagnostic imaging, posterior segment, (eg, scanning laser) with in
92228
- Imaging of retina for detection or monitoring of disease; with remote physician or other qualified h
92310
- Prescription of optical and physical characteristics of and fitting of contact lens, with medical su