icd 9 code for optic disc edema

by Kale Hermiston 3 min read

ICD-9-CM Diagnosis Code 377.00 : Papilledema, unspecified.

Full Answer

What causes optic nerve edema?

The following autoimmune conditions often are associated with optic neuritis:

  • Multiple sclerosis. Multiple sclerosis is a disease in which your autoimmune system attacks the myelin sheath covering nerve fibers in your brain. ...
  • Neuromyelitis optica. In this condition, inflammation affects the optic nerve and spinal cord. ...
  • Myelin oligodendrocyte glycoprotein (MOG) antibody disorder. ...

What is optic edema?

What is optic disc edema Consumption can be fatal, or recovery can occur with permanent neurologic and ophthalmologic deficits. While visual loss is not very common, increased intracranial pressure can cause bilateral optic disc swelling from cerebral edema.

What is swelling of the optic disc called?

What are the symptoms of papilledema?

  1. Blurry or cloudy vision
  2. Swelling of the optic disk
  3. Colored halos around lights or a halo that surrounds everything you see
  4. Floaters or flashing lights
  5. Loss of side vision
  6. Pain behind the eye or in the forehead
  7. Difficulty seeing at night
  8. Double vision
  9. Sensitivity to light
  10. Changes in color perception

What is the diagnosis code for edema?

Localized edema

  • R60.0 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 R60.0 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of R60.0 - other international versions of ICD-10 R60.0 may differ.

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What is optic disc edema?

Optic disc edema refers to the ophthalmoscopic swelling of the optic disc with a concurrent increase in fluid within or surrounding the axons. While unilateral disc edema is more common, bilateral disc edema can occur.

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.

Is optic disc edema the same as papilledema?

Optic disc edema refers to swelling of the nerve fiber layer at the optic nerve head due to an optic neuropathy of any etiology (inflammatory, infiltrative, compressive, etc.) whereas the term papilledema refers to optic disc edema caused by raised intracranial pressure.

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 unspecified Papilledema?

Papilledema is swelling of your optic nerve, which connects the eye and brain. This swelling is a reaction to a buildup of pressure in or around your brain that may have many causes. Often, it's a warning sign of a serious medical condition that needs attention, such as a brain tumor or hemorrhage.

What is ICD-10 for Papilledema?

H47. 10 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.

How can you tell the difference between papilledema and 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.

Which term is used to describe edema of the optic nerve?

Papilledema is the swelling of the optic nerve as it enters the back of the eye due to raised intracranial pressure.

What is the difference between papilledema and optic neuritis?

In contrast to true papilledema, with AION or optic neuritis, there is a startling loss of visual acuity, but clear-cut field defects. The presence of exudates, cotton wool spots, or hemorrhages is rare in most conditions associated with optic disc swelling other than papilledema and the non-arteritic form of AION.

What is the ICD-10 code for optic neuritis?

ICD-10 code H46. 9 for Unspecified optic neuritis is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa .

What is bilateral papilledema?

Papilledema is a sign of elevated intracranial pressure and is almost always bilateral. Causes include the following: Brain tumor. The tumors usually develop during early or middle adulthood but may develop at any age; they are... read more.

What is the ICD-10 code for CAD?

Code I25* is the diagnosis code used for Chronic Ischemic Heart Disease, also known as Coronary artery disease (CAD). It is a is a group of diseases that includes: stable angina, unstable angina, myocardial infarction, and sudden coronary death.

Performing a Good Examination

As you begin taking a full neurological and ophthalmic history, ask specifically about any headaches, the experts said. Other tips are as follows:

Acute Unilateral Vision Loss With Pain

A 34-year-old woman presented with 3 days of decreased vision in her left eye associated with ocular pain, which worsened when she moved the eye. She had no significant history of previous medical, ocular, or neurological problems, and she was not taking any medications.

Bilateral Vision Loss With Headache

A 16-year-old girl with no health problems aside from a body mass index (BMI) of 30 presented with a headache. She told us that her vision had become fuzzy over a period of several weeks, but she denied having any visual blackouts or pulsatile bruits.

Acute Unilateral Vision Loss Without Pain

A 64-year-old man awoke with impaired vision in the inferior visual field of his left eye 3 days before he consulted us. He had no headache, pain with eye movements, or other systemic symptoms, and his vision had remained stable over that 3-day period. He had a history of hyperlipidemia and systemic hypertension.

Is It Real?

Differentiating between true optic disc swelling and pseudo–optic disc swelling is important for avoiding unnecessary testing, Dr. Bhatti said. While papilledema is disc edema secondary to increased intracranial pressure, pseudopapilledema is a benign condition that is often due to optic disc drusen.

Acute Unilateral Vision Loss Without Pain

A 16-year-old boy presented with a weeklong history of painless loss of vision in his left eye. He was generally healthy; however, 3 weeks before his visual loss, he had developed muscle aches and a fever. This had resolved without treatment over the course of a week.

Meet the Experts

Anthony C. Arnold, MD Professor of ophthalmology and chief of the Neuro-ophthalmology Division at the Stein Eye Institute in Los Angeles. Relevant financial disclosures: None.

What is optic disc edema?

Optic disc edema refers to the ophthalmoscopic swelling of the optic disc with a concurrent increase in fluid within or surrounding the axons. While unilateral disc edema is more common, bilateral disc edema can occur. Many terms have been used to describe optic disc edema including swollen optic disc, disc edema, papilledema, papillitis, choked disc, and elevated optic nerve. The broadest terms to describe this phenomenon are optic disc edema and swollen optic disc, whereas the other terms imply the cause of the optic disc swelling. For example, papilledema implies optic disc edema due to increased intracranial pressure (ICP). For this reason, this article will use both optic disc edema and optic disc swelling interchangeably.

What is the goal of bilateral optic disc edema?

The goal is to treat the underlying cause in order to reduce the disc edema as quickly as possible.

What causes optic disc swelling?

This is caused by obstruction of slow and fast axoplasmic transport resulting in axoplasmic backflow.

What imaging is used to evaluate the dural venous sinuses?

An MRV (Magnetic Resonance Venography) also is recommended in suspected papilledema cases to evaluate the dural venous sinuses for thrombosis.

Can a cat scratch cause bilateral optic disc edema?

Lyme disease, cat scratch disease, and syphilis can all directly cause bilateral optic disc swelling due to infiltration whereas viruses can often precede optic neuritis.

Can optic disc edema be bilateral?

Although less common, causes of unilateral optic disc edema such as optic neuritis, ischemia, and compression can occur bilaterally.

Can optic disc edema cause choroidal folds?

More severe or chronic disc swelling may have associated retinal striae or wrinkles or develop choroidal folds. Over time secondary atrophy and gliosis may make it difficult to differentiate the various etiologies of chronic optic disc edema.

The ICD code H471 is used to code Papilledema

Papilledema (or papilloedema) is optic disc swelling that is caused by increased intracranial pressure. The swelling is usually bilateral and can occur over a period of hours to weeks. Unilateral presentation is extremely rare. Papilledema is mostly seen as a symptom resulting from another pathophysiological process.

ICD-10-CM Alphabetical Index References for 'H47.10 - Unspecified papilledema'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code H47.10. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 377.00 was previously used, H47.10 is the appropriate modern ICD10 code.

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