Other optic atrophy, left eye. H47.292 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Glaucomatous optic atrophy, right eye. H47.231 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM H47.231 became effective on October 1, 2019.
H47.292 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM H47.292 became effective on October 1, 2021. This is the American ICD-10-CM version of H47.292 - other international versions of ICD-10 H47.292 may differ. injury (trauma) of eye and orbit ( S05.-)
Optic atrophy. A disorder characterized by loss of optic nerve fibers. It may be inherited or acquired. Acquired causes include ischemia, optic nerve neuropathy, glaucoma, trauma, radiation, brain tumors, and multiple sclerosis. It leads to vision disturbances. Atrophy of the optic disk which may be congenital or acquired.
Optic atrophy refers to the death of the retinal ganglion cell axons that comprise the optic nerve with the resulting picture of a pale optic nerve on fundoscopy. Optic atrophy is an end stage that arises from myriad causes of optic nerve damage anywhere along the path from the retina to the lateral geniculate.
Optic atrophy is a condition that affects the optic nerve, which carries impulses from the eye to the brain. (Atrophy means to waste away or deteriorate.) There is no effective treatment for this condition. Appointments 216.444.2020.
Optic atrophy is classified as pathologic, ophthalmoscopic, or etiologic. Anterograde degeneration (Wallerian degeneration) - Degeneration begins in the retina and proceeds toward the lateral geniculate body (eg, toxic retinopathy, chronic simple glaucoma). Larger axons disintegrate more rapidly than smaller axons.
In optic atrophy due to tumors, there is an insidious history of slowly progressive visual impairment. However, hemorrhage within or due to the tumor eroding surrounding vessels would cause a sudden visual loss. Reduced color saturation or contrast sensitivity may develop before the occurrence of defective vision.
The retinal tissue that becomes atrophied may be due to any one of many rare disorders, however retinitis pigmentosa is the most common type. The cause of retinal atrophy is often because of defective genes.
Optic atrophy type 1 is caused by a genetic change (pathogenic variant) in the OPA1 gene. The disease is inherited in an autosomal dominant manner. Optic atrophy type 1 may be suspected when a person has signs and symptoms of the disease on an exam done by an ophthalmologist.
Hereditary Optic Atrophy Dominant Optic Atrophy is an autosomal dominant condition and the most common of the neuropathies. It has a prevalence of about 1:10,000 to 1:50,000 and is understood to be a progressive vision loss, because of the premature (usually in the first decade of life) degeneration of the optic nerve.
Disease Entity Autosomal dominant optic atrophy (ADOA) is estimated to be the most common hereditary optic neuropathy with an estimated disease prevalence of 1:12,000 to 1:50,000.
Optic atrophy type 1 (OPA1, or Kjer type optic atrophy) is characterized by bilateral and symmetric optic nerve pallor associated with insidious decrease in visual acuity (usually between ages 4 and 6 years), visual field defects, and color vision defects.
Optic atrophy-intellectual disability syndrome is a rare, hereditary, syndromic intellectual disability characterized by developmental delay, intellectual disability, and significant visual impairment due to optic nerve atrophy, optic nerve hypoplasia or cerebral visual impairment.
Cerebral visual impairment (sometimes called cortical visual impairment or CVI) is a disorder caused by damage to the parts of the brain that process vision. It's most common in babies and young children, but can continue into adulthood.
The ICD code H472 is used to code Leber's hereditary optic neuropathy. Leber’s hereditary optic neuropathy (LHON) or Leber optic atrophy is a mitochondrially inherited (transmitted from mother to offspring) degeneration of retinal ganglion cells (RGCs) and their axons that leads to an acute or subacute loss of central vision;
Use a child code to capture more detail. ICD Code H47.2 is a non-billable code.
Leber’s hereditary optic neuropathy (LHON) or Leber optic atrophy is a mitochondrially inherited (transmitted from mother to offspring) degeneration of retinal ganglion cells (RGCs) and their axons that leads to an acute or subacute loss of central vision; this affects predominantly young adult males. However, LHON is only transmitted through the mother as it is primarily due to mutations in the mitochondrial (not nuclear) genome and only the egg contributes mitochondria to the embryo. LHON is usually due to one of three pathogenic mitochondrial DNA (mtDNA) point mutations. These mutations are at nucleotide positions 11778 G to A, 3460 G to A and 14484 T to C, respectively in the ND4, ND1 and ND6 subunit genes of complex I of the oxidative phosphorylation chain in mitochondria. Men cannot pass on the disease to their offspring.
This means that while there is no exact mapping between this ICD10 code H47.292 and a single ICD9 code, 377.15 is an approximate match for comparison and conversion purposes.