H53.469 — Homonymous bilateral field defects, unspecified side
H53.469 is a billable, specific ICD-10-CM code for homonymous bilateral field defects, unspecified side. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Homonymous bilateral field defects NOS
Risk adjustment
H53.469 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H53.469 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53065Billing and Coding: Outpatient Physical Therapy
- A57637Billing and Coding: Visual Field Examination
Code history
H53.469 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share H53.46. If H53.469 is not quite right, the correct code is usually one of these.
Questions about H53.469
- Is H53.469 a billable ICD-10-CM code?
- Yes. H53.469 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H53.469 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Visual disturbances and blindness (H53-H54).