ICD-10 Coding for Optic Nerve Edema(H47.11, H47.141)
Complete ICD-10-CM coding and documentation guide for Optic Nerve Edema. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Optic Nerve Edema
H47.1Primary Range
Disorders of optic nerve
This range includes codes for various optic nerve disorders, including papilledema, which is a primary concern in optic nerve edema.
Benign intracranial hypertension
This code is often used in conjunction with H47.11 to indicate the underlying cause of papilledema.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H47.11 | Papilledema associated with increased intracranial pressure | Use when papilledema is confirmed with increased intracranial pressure. |
|
| H47.141 | Foster-Kennedy syndrome, right eye | Use when Foster-Kennedy syndrome is diagnosed with right eye involvement. |
|
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 optic nerve edema
Essential facts and insights about Optic Nerve Edema
Primary ICD-10-CM Codes for optic nerve edema
Decision Criteria
clinical Criteria
- Presence of bilateral optic disc swelling with increased intracranial pressure
Applicable To
- Bilateral optic disc swelling due to increased intracranial pressure
Clinical Validation Requirements
- Bilateral disc edema with obscuration of major vessels
- RNFL thickness >200µm on OCT
- LP opening pressure >25 cm H2O
Code-Specific Risks
- Misclassification with other optic disc edemas
- Incorrect sequencing with underlying conditions
Coding Notes
- Ensure documentation supports increased intracranial pressure.
H47.141 - Foster-Kennedy syndrome, right eye
Use when Foster-Kennedy syndrome is diagnosed with right eye involvement.
Applicable To
- Right optic atrophy with left papilledema
Excludes
- Optic neuritis (H46.0)
Clinical Validation Requirements
- MRI evidence of frontal lobe mass
- Ipsilateral optic atrophy
- Contralateral disc edema
Coding Notes
Ensure laterality is correctly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Benign intracranial hypertension
G93.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Optic Nerve Edema to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H47.11.
Impact
Clinical: Inaccurate clinical documentation, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always document laterality in clinical notes, Use templates that prompt for laterality
Impact
Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always sequence the underlying condition code first, such as G93.2 before H47.11.
Impact
Billing without sufficient documentation of detailed sketches.
Mitigation Strategy
Ensure all extended ophthalmoscopy claims include required documentation.
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 Optic Nerve Edema, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Optic Nerve Edema
Use these documentation templates to ensure complete and accurate documentation for Optic Nerve Edema. These templates include all required elements for proper coding and billing.
Neuro-ophthalmology Progress Note
Specialty: OphthalmologyRequired Elements
- Optic Disc Assessment
- Frisén Grade
- OCT Findings
- ICP Evidence
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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