ICD-10 · PDGM grouping
H47 Other disorders of optic [2nd] nerve and visual pathways
All 80 codes in the H47 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
80
Can lead a claim
60
Cannot lead a claim
20
What CMS assigns to H47
60 of the 80 codes group to MMTA - Other; 20 are assigned no clinical group. None of the 80 is assigned a comorbidity subgroup. 60 of the 80 can lead a claim.
Every code in H47
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| H47.0 Disorders of optic nerve, not elsewhere classified | ||||
| H47.01 Ischemic optic neuropathy | ||||
| H47.011 | Ischemic optic neuropathy, right eye | Can lead a claim | A | None |
| H47.012 | Ischemic optic neuropathy, left eye | Can lead a claim | A | None |
| H47.013 | Ischemic optic neuropathy, bilateral | Can lead a claim | A | None |
| H47.019 | Ischemic optic neuropathy, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.02 Hemorrhage in optic nerve sheath | ||||
| H47.021 | Hemorrhage in optic nerve sheath, right eye | Can lead a claim | A | None |
| H47.022 | Hemorrhage in optic nerve sheath, left eye | Can lead a claim | A | None |
| H47.023 | Hemorrhage in optic nerve sheath, bilateral | Can lead a claim | A | None |
| H47.029 | Hemorrhage in optic nerve sheath, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.03 Optic nerve hypoplasia | ||||
| H47.031 | Optic nerve hypoplasia, right eye | Can lead a claim | A | None |
| H47.032 | Optic nerve hypoplasia, left eye | Can lead a claim | A | None |
| H47.033 | Optic nerve hypoplasia, bilateral | Can lead a claim | A | None |
| H47.039 | Optic nerve hypoplasia, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.09 Other disorders of optic nerve, not elsewhere classified | ||||
| H47.091 | Other disorders of optic nerve, not elsewhere classified, right eyeCMS: Oth disorders of optic nerve, NEC, right eye | Can lead a claim | A | None |
| H47.092 | Other disorders of optic nerve, not elsewhere classified, left eyeCMS: Oth disorders of optic nerve, NEC, left eye | Can lead a claim | A | None |
| H47.093 | Other disorders of optic nerve, not elsewhere classified, bilateralCMS: Oth disorders of optic nerve, NEC, bilateral | Can lead a claim | A | None |
| H47.099 | Other disorders of optic nerve, not elsewhere classified, unspecified eyeCMS: Oth disorders of optic nerve, NEC, unsp eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.1 Papilledema | ||||
| H47.10 | Unspecified papilledema | Can lead a claim | A | None |
| H47.11 | Papilledema associated with increased intracranial pressure | Can lead a claim | A | None |
| H47.12 | Papilledema associated with decreased ocular pressure | Can lead a claim | A | None |
| H47.13 | Papilledema associated with retinal disorder | Can lead a claim | A | None |
| H47.14 Foster-Kennedy syndrome | ||||
| H47.141 | Foster-Kennedy syndrome, right eye | Can lead a claim | A | None |
| H47.142 | Foster-Kennedy syndrome, left eye | Can lead a claim | A | None |
| H47.143 | Foster-Kennedy syndrome, bilateral | Can lead a claim | A | None |
| H47.149 | Foster-Kennedy syndrome, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.2 Optic atrophy | ||||
| H47.20 | Unspecified optic atrophy | Can lead a claim | A | None |
| H47.21 Primary optic atrophy | ||||
| H47.211 | Primary optic atrophy, right eye | Can lead a claim | A | None |
| H47.212 | Primary optic atrophy, left eye | Can lead a claim | A | None |
| H47.213 | Primary optic atrophy, bilateral | Can lead a claim | A | None |
| H47.219 | Primary optic atrophy, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.22 | Hereditary optic atrophy | Can lead a claim | A | None |
| H47.23 Glaucomatous optic atrophy | ||||
| H47.231 | Glaucomatous optic atrophy, right eye | Can lead a claim | A | None |
| H47.232 | Glaucomatous optic atrophy, left eye | Can lead a claim | A | None |
| H47.233 | Glaucomatous optic atrophy, bilateral | Can lead a claim | A | None |
| H47.239 | Glaucomatous optic atrophy, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.29 Other optic atrophy | ||||
| H47.291 | Other optic atrophy, right eye | Can lead a claim | A | None |
| H47.292 | Other optic atrophy, left eye | Can lead a claim | A | None |
| H47.293 | Other optic atrophy, bilateral | Can lead a claim | A | None |
| H47.299 | Other optic atrophy, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.3 Other disorders of optic disc | ||||
| H47.31 Coloboma of optic disc | ||||
| H47.311 | Coloboma of optic disc, right eye | Can lead a claim | A | None |
| H47.312 | Coloboma of optic disc, left eye | Can lead a claim | A | None |
| H47.313 | Coloboma of optic disc, bilateral | Can lead a claim | A | None |
| H47.319 | Coloboma of optic disc, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.32 Drusen of optic disc | ||||
| H47.321 | Drusen of optic disc, right eye | Can lead a claim | A | None |
| H47.322 | Drusen of optic disc, left eye | Can lead a claim | A | None |
| H47.323 | Drusen of optic disc, bilateral | Can lead a claim | A | None |
| H47.329 | Drusen of optic disc, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.33 Pseudopapilledema of optic disc | ||||
| H47.331 | Pseudopapilledema of optic disc, right eye | Can lead a claim | A | None |
| H47.332 | Pseudopapilledema of optic disc, left eye | Can lead a claim | A | None |
| H47.333 | Pseudopapilledema of optic disc, bilateral | Can lead a claim | A | None |
| H47.339 | Pseudopapilledema of optic disc, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.39 Other disorders of optic disc | ||||
| H47.391 | Other disorders of optic disc, right eye | Can lead a claim | A | None |
| H47.392 | Other disorders of optic disc, left eye | Can lead a claim | A | None |
| H47.393 | Other disorders of optic disc, bilateral | Can lead a claim | A | None |
| H47.399 | Other disorders of optic disc, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.4 Disorders of optic chiasm | ||||
| H47.41 | Disorders of optic chiasm in (due to) inflammatory disorders | Can lead a claim | A | None |
| H47.42 | Disorders of optic chiasm in (due to) neoplasm | Can lead a claim | A | None |
| H47.43 | Disorders of optic chiasm in (due to) vascular disorders | Can lead a claim | A | None |
| H47.49 | Disorders of optic chiasm in (due to) other disorders | Can lead a claim | A | None |
| H47.5 Disorders of other visual pathways | ||||
| H47.51 Disorders of visual pathways in (due to) inflammatory disorders | ||||
| H47.511 | Disorders of visual pathways in (due to) inflammatory disorders, right sideCMS: Disord of visual pathways in inflam disord, right side | Can lead a claim | A | None |
| H47.512 | Disorders of visual pathways in (due to) inflammatory disorders, left sideCMS: Disord of visual pathways in inflam disord, left side | Can lead a claim | A | None |
| H47.519 | Disorders of visual pathways in (due to) inflammatory disorders, unspecified sideCMS: Disord of visual pathways in inflam disord, unsp side | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H47.52 Disorders of visual pathways in (due to) neoplasm | ||||
| H47.521 | Disorders of visual pathways in (due to) neoplasm, right sideCMS: Disord of visual pathways in (due to) neoplasm, right side | Can lead a claim | A | None |
| H47.522 | Disorders of visual pathways in (due to) neoplasm, left side | Can lead a claim | A | None |
| H47.529 | Disorders of visual pathways in (due to) neoplasm, unspecified sideCMS: Disorders of visual pathways in (due to) neoplasm, unsp side | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H47.53 Disorders of visual pathways in (due to) vascular disorders | ||||
| H47.531 | Disorders of visual pathways in (due to) vascular disorders, right sideCMS: Disord of visual pathways in vascular disord, right side | Can lead a claim | A | None |
| H47.532 | Disorders of visual pathways in (due to) vascular disorders, left sideCMS: Disord of visual pathways in vascular disord, left side | Can lead a claim | A | None |
| H47.539 | Disorders of visual pathways in (due to) vascular disorders, unspecified sideCMS: Disord of visual pathways in vascular disord, unsp side | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H47.6 Disorders of visual cortex | ||||
| H47.61 Cortical blindness | ||||
| H47.611 | Cortical blindness, right side of brain | Can lead a claim | A | None |
| H47.612 | Cortical blindness, left side of brain | Can lead a claim | A | None |
| H47.619 | Cortical blindness, unspecified side of brain | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H47.62 Disorders of visual cortex in (due to) inflammatory disorders | ||||
| H47.621 | Disorders of visual cortex in (due to) inflammatory disorders, right side of brainCMS: Disord of visual cortex in inflam disord, r side of brain | Can lead a claim | A | None |
| H47.622 | Disorders of visual cortex in (due to) inflammatory disorders, left side of brainCMS: Disord of visual cortex in inflam disord, left side of brain | Can lead a claim | A | None |
| H47.629 | Disorders of visual cortex in (due to) inflammatory disorders, unspecified side of brainCMS: Disord of visual cortex in inflam disord, unsp side of brain | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H47.63 Disorders of visual cortex in (due to) neoplasm | ||||
| H47.631 | Disorders of visual cortex in (due to) neoplasm, right side of brainCMS: Disord of visual cortex in neoplasm, right side of brain | Can lead a claim | A | None |
| H47.632 | Disorders of visual cortex in (due to) neoplasm, left side of brainCMS: Disord of visual cortex in neoplasm, left side of brain | Can lead a claim | A | None |
| H47.639 | Disorders of visual cortex in (due to) neoplasm, unspecified side of brainCMS: Disord of visual cortex in neoplasm, unsp side of brain | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H47.64 Disorders of visual cortex in (due to) vascular disorders | ||||
| H47.641 | Disorders of visual cortex in (due to) vascular disorders, right side of brainCMS: Disord of visual cortex in vasc disord, right side of brain | Can lead a claim | A | None |
| H47.642 | Disorders of visual cortex in (due to) vascular disorders, left side of brainCMS: Disord of visual cortex in vasc disord, left side of brain | Can lead a claim | A | None |
| H47.649 | Disorders of visual cortex in (due to) vascular disorders, unspecified side of brainCMS: Disord of visual cortex in vasc disord, unsp side of brain | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H47.9 | Unspecified disorder of visual pathways | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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