H47.313
Coloboma of optic disc, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Bilateral coloboma of the optic disc is a rare congenital condition where both optic nerves are affected by a defect. This condition occurs when normal development of the eye's structure is incomplete, leading to an abnormality in the optic discs, which are the points where the optic nerves connect to the retina. While it is often present from birth, its recognition and understanding are essential for managing potential visual impairments and associated eye conditions.
Causes & Symptoms
Clinical Causes: Genetic mutations or inherited factors affecting eye development Disruptions during early fetal development, particularly during the formation of the optic vesicle Environmental exposures during pregnancy, such as radiation or certain medications Associated syndromes or genetic conditions that include ocular anomalies
Key Symptoms: Difficulty with vision, which can vary from mild to severe Presence of a visible abnormality in the optic disc during eye examination Potential visual field defects, such as blind spots or peripheral vision loss Possible other ocular abnormalities, including colobomas of the iris, retina, or choroid In some cases, no noticeable symptoms if the condition is mild
Diagnostic & Treatment
Diagnosis Path: Fundoscopic examination to observe the optic discs for characteristic colobomatous defects Visual acuity testing to assess for any reductions in sharpness of vision Visual field testing to identify possible peripheral vision loss Optical coherence tomography (OCT) for detailed imaging of the retina and optic nerve head Genetic counseling and testing if associated with broader syndromes or inherited conditions
Treatment Protocols: Regular eye examinations to monitor for changes or complications such as retinal detachment Corrective lenses or visual aids to improve vision if necessary Management of associated ocular conditions, such as strabismus or nystagmus Surgical interventions in certain cases, such as retinal detachment repair Low vision support and rehabilitation services to assist with daily activities
Clinical Advice & FAQs
Billing Guidance
Is H47.313 a billable ICD-10 code?
Yes, H47.313 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H47.313?
Clinical documentation must specify the nature of Coloboma of optic disc, bilateral and any associated comorbidities for accurate reporting.
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