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2025 ICD-10-CM code H47.233

Glaucomatous optic atrophy, bilateral.

Use H47.233 when both eyes are affected by glaucomatous optic atrophy. For unilateral involvement, use H47.231 (right eye) or H47.232 (left eye).

Medical necessity for services related to H47.233 stems from the need to monitor and manage the progression of glaucoma, which can lead to irreversible vision loss if left untreated.

Diagnosis and management of this condition falls under the purview of ophthalmologists, who specialize in eye and vision care. They conduct comprehensive eye exams, including visual field testing, imaging studies (like OCT), and tonometry, to assess the extent of optic nerve damage and monitor glaucoma progression.

In simple words: Damage to the optic nerve in both eyes caused by glaucoma, leading to vision loss.

Glaucomatous optic atrophy, bilateral. This code indicates atrophy of the optic nerve in both eyes due to glaucoma.

Example 1: A 65-year-old patient with a history of primary open-angle glaucoma presents with progressive vision loss in both eyes. Upon examination, the ophthalmologist notes optic nerve head cupping and pallor consistent with glaucomatous optic atrophy. The diagnosis is confirmed through visual field testing and OCT imaging, and the code H47.233 is used for billing., A patient with angle-closure glaucoma experiences a sudden increase in intraocular pressure, leading to optic nerve damage.After the pressure is controlled, the ophthalmologist observes optic atrophy in both eyes, using H47.233 to document the condition., During a routine eye exam, a patient is diagnosed with normal-tension glaucoma and shows signs of bilateral optic nerve atrophy. The code H47.233 is used to record the optic atrophy linked to the glaucoma diagnosis.

Documentation should include detailed ophthalmological examination findings, including optic disc appearance (cupping, pallor), visual field test results, imaging studies (e.g., OCT), and intraocular pressure measurements.History of glaucoma and its treatment should also be documented.

** This code signifies the end-stage consequence of glaucomatous damage to the optic nerve, characterized by irreversible vision loss.

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