ICD-10-CM Billable Code

H47.311

Coloboma of optic disc, right eye

Clinical Classification Guidelines

Medical Intelligence & Overview

Coloboma of the optic disc is a congenital condition characterized by a abnormality in the optic nerve. When it affects the right eye, it is specifically classified under ICD-10 code H47.311. This condition occurs due to incomplete development of the optic nerve during fetal growth, leading to a gap or notch in the optic disc, which is crucial for transmitting visual information from the eye to the brain. Though often present from birth, symptoms and severity can vary among individuals.

Causes & Symptoms

Clinical Causes: Genetic factors inherited from parents Developmental anomalies during fetal eye formation Familial history of eye abnormalities Rarely associated with certain syndromes or genetic conditions

Key Symptoms: Possible vision impairment or reduced visual acuity in the affected eye Presence of a visible pit or notch in the optic disc during an eye exam No symptoms in some cases, with the condition discovered incidentally Potential for associated eye abnormalities such as colobomas in other parts of the eye

Diagnostic & Treatment

Diagnosis Path: Diagnosis of coloboma of the optic disc usually involves a comprehensive eye examination, including fundus photography and optical coherence tomography (OCT). An ophthalmologist will examine the optic nerve for characteristic features like a notch or excavation. Visual acuity tests assess the impact on vision. Additional imaging may help determine the extent of the defect and identify any related anomalies. Genetic counseling could be recommended if associated with inherited syndromes.

Treatment Protocols: There is no specific medical treatment to reverse or cure coloboma of the optic disc. Management typically focuses on monitoring and supporting visual function. Corrective lenses or visual aids may be prescribed if visual acuity is affected. Regular eye exams are important to monitor for associated conditions such as retinal detachment, which may require surgical intervention. In cases where additional eye abnormalities are present, specialized treatments may be necessary. Supportive therapies and visual rehabilitation might be beneficial for individuals experiencing significant visual deficits.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H47.311 a billable ICD-10 code?
Yes, H47.311 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H47.311?
Clinical documentation must specify the nature of Coloboma of optic disc, right eye and any associated comorbidities for accurate reporting.

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