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Home/Diagnosis/ICD-10 Coding for Papilledema

ICD-10 Coding for Papilledema

H47.10
H47.11

Complete ICD-10-CM coding and documentation guide for icd-10 coding for papilledema includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Optic disc swelling
Choked disc
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Key Information: ICD-10 Coding for Papilledema

Essential facts and insights about ICD-10 Coding for Papilledema

Use ICD-10 code H47.10 for unspecified papilledema, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified papilledema

Billable Code
H47.10
Billable

Diagnostic Criteria

documentation_criteria:
  • • No documented cause of papilledema
applicable_to:
  • • Optic disc swelling without specified cause
excludes:
  • • Papilledema due to increased intracranial pressure (H47.11)
validation:
  • • Clinical examination showing optic disc swelling
  • • Absence of documented increased intracranial pressure
notes:
  • • Ensure documentation specifies the absence of increased intracranial pressure.
risks:
  • • Risk of undercoding if increased intracranial pressure is present but not documented.

Papilledema associated with increased intracranial pressure

Billable Code
H47.11
Billable

Diagnostic Criteria

applicable_to:
  • • Optic disc swelling due to increased intracranial pressure
excludes:
  • • Unspecified papilledema (H47.10)
validation:
  • • Documented increased intracranial pressure via lumbar puncture or imaging
  • • Clinical signs of optic disc swelling
notes:
  • • Ensure documentation includes evidence of increased intracranial pressure.
Ancillary Codes

Additional codes that may be used with this diagnosis

G93.2

Benign intracranial hypertension

Use as primary code when idiopathic intracranial hypertension is the cause.

Frequently Asked Questions

What is the ICD-10 code for papilledema?

The ICD-10 code for unspecified papilledema is H47.10, while papilledema associated with increased intracranial pressure is coded as H47.11.

How do you document papilledema?

Document papilledema by including optic disc examination findings, lumbar puncture results, and neuroimaging findings to confirm increased intracranial pressure.

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