icd 9 code for optic disc cupping

What is the ICD 10 code for cupping of the optic disc?

Physiologic cupping of optic disc ICD-10-CM H47.239 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 124 Other disorders of the eye with mcc 125 Other disorders of the eye without mcc

What is the ICD 10 code for optic disc disease?

Other disorders of optic disc, right eye 1 H47.391 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM H47.391 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of H47.391 - other international versions of ICD-10 H47.391 may differ.

Can optic disc cupping be misdiagnosed as glaucoma?

Even with the photography and imaging of today, it is still difficult for the clinician to accurately diagnose other causes of optic-disc cupping. Up to 20% of patients may be misdiagnosed and treated for glaucoma due to misinterpretation of the optic-disc cupping.

What is the pathophysiology of optic-disc cupping?

Purpose of review: Pathological optic-disc cupping is most often caused by glaucoma, but may be seen in many less-common neuro-ophthalmic conditions. The goal of this article is to examine a host of entities causing optic-disc cupping, present key differentiating characteristics and pathophysiologies, and outline diagnostic approaches.

What is optic disc cupping?

This means when you look through the pupil at the head of the optic nerve, also called the optic disc, it forms a cup shape with raised edges and a central depression. A healthy optic nerve with all of its nerve cells is more densely packed so has thicker edges and a smaller central cup.

Does optic nerve cupping always mean glaucoma?

Up to 20% of nonglaucomatous cupping has been misdiagnosed and treated as glaucoma. Young age, pallor of the disc, loss of visual acuity and color vision, and a poor correlation between optic nerve and visual field findings are suggestive of a condition other than glaucoma.

What is the ICD 10 code for optic disc edema?

The 2022 edition of ICD-10-CM H47. 13 became effective on October 1, 2021. This is the American ICD-10-CM version of H47.

What is the ICD 10 code for Pseudopapilledema?

ICD-10-CM Code for Pseudopapilledema of optic disc, bilateral H47. 333.

How does optic nerve cupping affect vision?

Damage to the optic nerve fibers resulting from glaucoma causes optic nerve cupping, which results in loss of vision and in some cases requires the removal of the eye.

What is cup-to-disc ratio in glaucoma?

A C/D ratio between 0.4 and 0.8 can characterize a patient with a normal optic disc (i.e., physiologic cupping), a glaucoma suspect or someone with early to moderate glaucoma (depending on the optic disc size); If the C/D ratio is 0.8 or greater, consider the individual's disc as glaucomatous unless proven otherwise.

What is optic disk edema?

Optic disc edema is swelling of intraocular portion of the optic nerve. The axons of retinal ganglion cell which forms the nerve exit the eye through scleral lamina cribrosa and convey the visual signal to the occipital cortex.

What is the ICD-10 code for optic nerve swelling?

H46. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is primary optic atrophy?

Primary optic atrophy occurs without any preceding swelling of the optic nerve head. The condition is caused by lesions in the anterior visual system extending from the RGCs to the lateral geniculate body (LGB).

What is Pseudopapilledema?

Pseudopapilledema is defined as anomalous elevation of one or both optic discs without edema of the retinal nerve fiber layer. Papilledema, on the other hand, is a swelling of the optic disc due to increased intracranial pressure.

What is the ICD 10 code for Papilledema?

ICD-10 code H47. 11 for Papilledema associated with increased intracranial pressure is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa .

Does cupping mean glaucoma?

Doctors call this "optic nerve cupping." Cupping can be a sign of glaucoma, and this condition always needs treatment. Without proper care, glaucoma can steal your vision. But if you do not have glaucoma, your doctor may opt to observe your eyes and wait to intervene unless the problem gets worse.

What can be mistaken for glaucoma?

Conditions that can be mistaken for glaucoma include compressive or infiltrative lesions of the optic nerve, previous ischemic optic neuropathy (both arteritic and non-arteritic), congenital and hereditary optic neuropathies, post-traumatic optic neuropathy and inflammatory and demyelinating optic neuritis.

Does enlarged optic nerve mean glaucoma?

Glaucoma is the result of damage to the optic nerve. As this nerve gradually deteriorates, blind spots develop in your visual field. For reasons that doctors don't fully understand, this nerve damage is usually related to increased pressure in the eye.

Can large optic nerve cup be normal?

Some people have the appearance of glaucomatous cupping, but in reality have perfectly normal eyes. This is because some people are born with larger optic nerves … their “pipe” is very large with a lot of excess room inside of it that gives the illusion of nerve loss, but in reality they are perfectly healthy.