Diseases of the eye and adnexa
Disorders of optic nerve and visual pathways
2017/18 ICD-10-CM Diagnosis Code H46
2016 2017 2018 Non-Billable/Non-Specific Code
- H46 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
- The 2018 edition of ICD-10-CM H46 became effective on October 1, 2017.
- This is the American ICD-10-CM version of H46 - other international versions of ICD-10 H46 may differ.
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (H46) and the excluded code together.
The following code(s) above H46
contain annotation back-references
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
that may be applicable to H46
- A disorder characterized by inflammation of the optic nerve. Causes include autoimmune disorders, infections, toxins, drugs, and multiple sclerosis. It may manifest with acute loss of vision and pain.
- Inflammation of the optic nerve. Commonly associated conditions include autoimmune disorders such as multiple sclerosis, infections, and granulomatous diseases. Clinical features include retro-orbital pain that is aggravated by eye movement, loss of color vision, and contrast sensitivity that may progress to severe visual loss, an afferent pupillary defect (marcus-gunn pupil), and in some instances optic disc hyperemia and swelling. Inflammation may occur in the portion of the nerve within the globe (neuropapillitis or anterior optic neuritis) or the portion behind the globe (retrobulbar neuritis or posterior optic neuritis).
- Inflammation of the second cranial nerve or optic nerve; commonly associated conditions include autoimmune disorders such as multiple sclerosis, infections, and granulomatous diseases.
- What: optic neuritis. Optic neuritis: the inflammation, degeneration, or demyelination of the optic nerve. Why: optic neuritis may be present in patients with sarcoidosis or reiter's syndrome (rarely). How: clinically, patients with optic neuritis present with sudden loss of central vision and pain on moving the eye. Opthalmoscopically there may be hyperemia of the optic disc and distention of the large retinal veins. At later stages the disk margins are blurred and may be slightly elevated simulating papilledema. Refs: vaugn, d and asbury, t: general ophthamology, 8th edition, 1977.
- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
Code annotations containing back-references to H46:
ICD-10-CM Codes Adjacent To H46
Other disorders of globe
Unspecified disorder of globe
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.