ICD-10 · PDGM grouping
H46-H47 — Disorders of optic nerve and visual pathways
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
92
No clinical group
24
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
68 of the 92 codes in H46-H47 group to MMTA - Other. A further 24 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in H46-H47
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in H46-H47
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| H4600 | Optic papillitis, unspecified eye | None | Cannot lead a claim |
| H4601 | Optic papillitis, right eye | A | Can lead a claim |
| H4602 | Optic papillitis, left eye | A | Can lead a claim |
| H4603 | Optic papillitis, bilateral | A | Can lead a claim |
| H4610 | Retrobulbar neuritis, unspecified eye | None | Cannot lead a claim |
| H4611 | Retrobulbar neuritis, right eye | A | Can lead a claim |
| H4612 | Retrobulbar neuritis, left eye | A | Can lead a claim |
| H4613 | Retrobulbar neuritis, bilateral | A | Can lead a claim |
| H462 | Nutritional optic neuropathy | A | Can lead a claim |
| H463 | Toxic optic neuropathy | None | Cannot lead a claim |
| H468 | Other optic neuritis | A | Can lead a claim |
| H469 | Unspecified optic neuritis | None | Cannot lead a claim |
| H47011 | Ischemic optic neuropathy, right eye | A | Can lead a claim |
| H47012 | Ischemic optic neuropathy, left eye | A | Can lead a claim |
| H47013 | Ischemic optic neuropathy, bilateral | A | Can lead a claim |
| H47019 | Ischemic optic neuropathy, unspecified eye | None | Cannot lead a claim |
| H47021 | Hemorrhage in optic nerve sheath, right eye | A | Can lead a claim |
| H47022 | Hemorrhage in optic nerve sheath, left eye | A | Can lead a claim |
| H47023 | Hemorrhage in optic nerve sheath, bilateral | A | Can lead a claim |
| H47029 | Hemorrhage in optic nerve sheath, unspecified eye | None | Cannot lead a claim |
| H47031 | Optic nerve hypoplasia, right eye | A | Can lead a claim |
| H47032 | Optic nerve hypoplasia, left eye | A | Can lead a claim |
| H47033 | Optic nerve hypoplasia, bilateral | A | Can lead a claim |
| H47039 | Optic nerve hypoplasia, unspecified eye | None | Cannot lead a claim |
| H47091 | Oth disorders of optic nerve, NEC, right eye | A | Can lead a claim |
| H47092 | Oth disorders of optic nerve, NEC, left eye | A | Can lead a claim |
| H47093 | Oth disorders of optic nerve, NEC, bilateral | A | Can lead a claim |
| H47099 | Oth disorders of optic nerve, NEC, unsp eye | None | Cannot lead a claim |
| H4710 | Unspecified papilledema | A | Can lead a claim |
| H4711 | Papilledema associated with increased intracranial pressure | A | Can lead a claim |
| H4712 | Papilledema associated with decreased ocular pressure | A | Can lead a claim |
| H4713 | Papilledema associated with retinal disorder | A | Can lead a claim |
| H47141 | Foster-Kennedy syndrome, right eye | A | Can lead a claim |
| H47142 | Foster-Kennedy syndrome, left eye | A | Can lead a claim |
| H47143 | Foster-Kennedy syndrome, bilateral | A | Can lead a claim |
| H47149 | Foster-Kennedy syndrome, unspecified eye | None | Cannot lead a claim |
| H4720 | Unspecified optic atrophy | A | Can lead a claim |
| H47211 | Primary optic atrophy, right eye | A | Can lead a claim |
| H47212 | Primary optic atrophy, left eye | A | Can lead a claim |
| H47213 | Primary optic atrophy, bilateral | A | Can lead a claim |
| H47219 | Primary optic atrophy, unspecified eye | None | Cannot lead a claim |
| H4722 | Hereditary optic atrophy | A | Can lead a claim |
| H47231 | Glaucomatous optic atrophy, right eye | A | Can lead a claim |
| H47232 | Glaucomatous optic atrophy, left eye | A | Can lead a claim |
| H47233 | Glaucomatous optic atrophy, bilateral | A | Can lead a claim |
| H47239 | Glaucomatous optic atrophy, unspecified eye | None | Cannot lead a claim |
| H47291 | Other optic atrophy, right eye | A | Can lead a claim |
| H47292 | Other optic atrophy, left eye | A | Can lead a claim |
| H47293 | Other optic atrophy, bilateral | A | Can lead a claim |
| H47299 | Other optic atrophy, unspecified eye | None | Cannot lead a claim |
| H47311 | Coloboma of optic disc, right eye | A | Can lead a claim |
| H47312 | Coloboma of optic disc, left eye | A | Can lead a claim |
| H47313 | Coloboma of optic disc, bilateral | A | Can lead a claim |
| H47319 | Coloboma of optic disc, unspecified eye | None | Cannot lead a claim |
| H47321 | Drusen of optic disc, right eye | A | Can lead a claim |
| H47322 | Drusen of optic disc, left eye | A | Can lead a claim |
| H47323 | Drusen of optic disc, bilateral | A | Can lead a claim |
| H47329 | Drusen of optic disc, unspecified eye | None | Cannot lead a claim |
| H47331 | Pseudopapilledema of optic disc, right eye | A | Can lead a claim |
| H47332 | Pseudopapilledema of optic disc, left eye | A | Can lead a claim |
| H47333 | Pseudopapilledema of optic disc, bilateral | A | Can lead a claim |
| H47339 | Pseudopapilledema of optic disc, unspecified eye | None | Cannot lead a claim |
| H47391 | Other disorders of optic disc, right eye | A | Can lead a claim |
| H47392 | Other disorders of optic disc, left eye | A | Can lead a claim |
| H47393 | Other disorders of optic disc, bilateral | A | Can lead a claim |
| H47399 | Other disorders of optic disc, unspecified eye | None | Cannot lead a claim |
| H4741 | Disorders of optic chiasm in (due to) inflammatory disorders | A | Can lead a claim |
| H4742 | Disorders of optic chiasm in (due to) neoplasm | A | Can lead a claim |
| H4743 | Disorders of optic chiasm in (due to) vascular disorders | A | Can lead a claim |
| H4749 | Disorders of optic chiasm in (due to) other disorders | A | Can lead a claim |
| H47511 | Disord of visual pathways in inflam disord, right side | A | Can lead a claim |
| H47512 | Disord of visual pathways in inflam disord, left side | A | Can lead a claim |
| H47519 | Disord of visual pathways in inflam disord, unsp side | None | Cannot lead a claim |
| H47521 | Disord of visual pathways in (due to) neoplasm, right side | A | Can lead a claim |
| H47522 | Disorders of visual pathways in (due to) neoplasm, left side | A | Can lead a claim |
| H47529 | Disorders of visual pathways in (due to) neoplasm, unsp side | None | Cannot lead a claim |
| H47531 | Disord of visual pathways in vascular disord, right side | A | Can lead a claim |
| H47532 | Disord of visual pathways in vascular disord, left side | A | Can lead a claim |
| H47539 | Disord of visual pathways in vascular disord, unsp side | None | Cannot lead a claim |
| H47611 | Cortical blindness, right side of brain | A | Can lead a claim |
| H47612 | Cortical blindness, left side of brain | A | Can lead a claim |
| H47619 | Cortical blindness, unspecified side of brain | None | Cannot lead a claim |
| H47621 | Disord of visual cortex in inflam disord, r side of brain | A | Can lead a claim |
| H47622 | Disord of visual cortex in inflam disord, left side of brain | A | Can lead a claim |
| H47629 | Disord of visual cortex in inflam disord, unsp side of brain | None | Cannot lead a claim |
| H47631 | Disord of visual cortex in neoplasm, right side of brain | A | Can lead a claim |
| H47632 | Disord of visual cortex in neoplasm, left side of brain | A | Can lead a claim |
| H47639 | Disord of visual cortex in neoplasm, unsp side of brain | None | Cannot lead a claim |
| H47641 | Disord of visual cortex in vasc disord, right side of brain | A | Can lead a claim |
| H47642 | Disord of visual cortex in vasc disord, left side of brain | A | Can lead a claim |
| H47649 | Disord of visual cortex in vasc disord, unsp side of brain | None | Cannot lead a claim |
| H479 | Unspecified disorder of visual pathways | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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