ICD-10 Coding for Anterior Ischemic Optic Neuropathy(H47.011, H47.012)
Complete ICD-10-CM coding and documentation guide for Anterior Ischemic Optic Neuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anterior Ischemic Optic Neuropathy
H47.0-H47.9Primary Range
Disorders of optic nerve and visual pathways
This range includes codes for various optic nerve disorders, including AION.
Type 2 diabetes mellitus with ophthalmic complications
Relevant for diabetic papillopathy cases presenting as AION.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H47.011 | Anterior ischemic optic neuropathy, right eye | Use for non-arteritic AION in the right eye. |
|
| H47.012 | Anterior ischemic optic neuropathy, left eye | Use for non-arteritic AION in the left eye. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for anterior ischemic optic neuropathy
Essential facts and insights about Anterior Ischemic Optic Neuropathy
Primary ICD-10-CM Codes for aion
Decision Criteria
clinical Criteria
- Acute painless vision loss with optic disc edema
Applicable To
- Non-arteritic anterior ischemic optic neuropathy
Excludes
- Optic neuritis (H46.0)
Clinical Validation Requirements
- Acute painless vision loss
- Optic disc edema
- Visual field defect
Code-Specific Risks
- Ensure laterality is specified to avoid queries.
Coding Notes
- Ensure documentation specifies non-arteritic nature and laterality.
H47.012 - Anterior ischemic optic neuropathy, left eye
Use for non-arteritic AION in the left eye.
Applicable To
- Non-arteritic anterior ischemic optic neuropathy
Excludes
- Optic neuritis (H46.0)
Clinical Validation Requirements
- Acute painless vision loss
- Optic disc edema
- Visual field defect
Coding Notes
Ensure documentation specifies non-arteritic nature and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other giant cell arteritis
M31.6Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Optic neuritis
H46.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Anterior Ischemic Optic Neuropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H47.011.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Include specific clinical indicators in documentation.
Impact
Reimbursement: May lead to claim denials or delays., Compliance: Non-compliance with ICD-10 coding rules., Data Quality: Inaccurate patient records.
Mitigation Strategy
Always specify right or left eye in documentation.
Impact
Failure to document all necessary clinical details.
Mitigation Strategy
Use standardized templates to ensure all elements are captured.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Anterior Ischemic Optic Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anterior Ischemic Optic Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Anterior Ischemic Optic Neuropathy. These templates include all required elements for proper coding and billing.
Non-arteritic AION in a diabetic patient
Specialty: OphthalmologyRequired Elements
- Patient age and gender
- Onset and nature of vision loss
- Fundoscopic findings
- Relevant lab results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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