2025 ICD-10-CM code H47
(Active) Effective Date: N/A Diseases of the eye and adnexa - Disorders of optic nerve and visual pathways 7 Feed
Other disorders of optic nerve and visual pathways. This category encompasses conditions affecting the optic nerve and visual pathways that are not classified elsewhere.
Medical necessity for the use of this code must be supported by the documentation of objective clinical findings and diagnostic test results that indicate a disorder of the optic nerve or visual pathways. The documentation should clearly link the patient's symptoms and functional limitations to the diagnosed condition.
Diagnosis and management of these conditions typically fall under the purview of ophthalmologists and neuro-ophthalmologists. They conduct thorough eye exams, including visual field testing and imaging studies, to assess the optic nerve and visual pathways. Treatment varies depending on the specific disorder and may involve medications, surgery, or supportive care.
In simple words: This code refers to problems with the optic nerve, which connects your eye to your brain, and the pathways that carry visual information. These problems can affect how you see and may cause symptoms like blurry vision or headaches.
This code includes various disorders affecting the optic nerve and visual pathways, such as ischemic optic neuropathy, hemorrhage in optic nerve sheath, optic nerve hypoplasia, and other unspecified disorders of the optic nerve. These conditions can lead to visual impairment, including blurred vision, loss of peripheral vision, and difficulty seeing in the entire field of vision.Symptoms may also include headaches.
Example 1: A patient presents with sudden, painless vision loss in one eye. After examination and imaging, the physician diagnoses ischemic optic neuropathy, coded as H47.01., A patient with a history of head trauma experiences double vision and blurred vision. Diagnostic tests reveal a hemorrhage in the optic nerve sheath, leading to the assignment of code H47.02., A child exhibits poor vision since birth. Upon examination, the ophthalmologist determines the child has underdeveloped optic nerves, diagnosed as optic nerve hypoplasia, and uses code H47.03.
Documentation should include detailed clinical findings from eye examinations, visual field tests, imaging studies (such as MRI or CT scans), and any other relevant diagnostic tests. The physician's assessment, diagnosis, and treatment plan should also be clearly documented.
- Specialties:Ophthalmology, Neuro-ophthalmology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital