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2025 ICD-10-CM code H47.03

Optic nerve hypoplasia. This is a congenital condition characterized by underdevelopment of the optic nerve.

Use additional codes to specify laterality (right, left, bilateral, unspecified) using H47.031, H47.032, H47.033, or H47.039. Code any associated conditions, such as septo-optic dysplasia, separately.

Medical necessity is established by the presence of signs and symptoms of visual impairment due to optic nerve underdevelopment.This can include decreased visual acuity, abnormal visual fields, and characteristic findings on fundoscopy.

Diagnosis and management often involves ophthalmologists, neuro-ophthalmologists, and pediatricians. They assess visual acuity, perform funduscopic examinations, and may order imaging studies like MRI to evaluate the optic nerve and brain.

In simple words: Optic nerve hypoplasia is a birth defect where the nerve that connects the eye to the brain is underdeveloped, which may cause vision problems.

Optic nerve hypoplasia is a congenital condition characterized by the underdevelopment of the optic nerve.This means the optic nerve is smaller than normal, potentially affecting vision.

Example 1: A newborn infant is noted to have reduced visual responses. Upon examination, the ophthalmologist diagnoses optic nerve hypoplasia., A child with a known diagnosis of septo-optic dysplasia, which often includes optic nerve hypoplasia, undergoes regular eye exams to monitor vision development and potential complications., An adult presents with decreased vision in one eye, and after extensive testing, including neuroimaging, is diagnosed with unilateral optic nerve hypoplasia.

Documentation should include a detailed ophthalmological examination, visual field testing, imaging studies (MRI, CT scan), and any associated conditions. If present, document associated conditions such as septo-optic dysplasia.

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