H47.149
Foster-Kennedy syndrome, unspecified eye
Clinical Classification Guidelines
Medical Intelligence & Overview
Foster-Kennedy syndrome is a neurological condition characterized by specific symptoms related to the optic nerve and brain. It typically involves a combination of vision loss, changes in the appearance of the eyes, and neurological signs. Although considered rare, understanding its features helps in addressing the underlying causes and managing the symptoms effectively.
Causes & Symptoms
Clinical Causes: Tumors originating in the frontal lobe, especially meningiomas near the olfactory groove Increased intracranial pressure due to mass effects from tumors or other intracranial abnormalities Lesions compressing the optic nerves or the optic chiasm Other intracranial pathologies that cause localized pressure or damage to the visual pathways
Key Symptoms: Asymmetry in optic disc appearance, with one eye exhibiting atrophic (pale) disc while the other shows swelling (papilledema) Gradual loss of vision in one eye, often related to optic nerve atrophy Headaches, often due to increased intracranial pressure Possible nausea and vomiting associated with increased pressure inside the skull Changes in visual acuity and visual field deficits Neurological signs such as weakness or sensory changes, depending on the underlying brain lesion
Diagnostic & Treatment
Diagnosis Path: To accurately diagnose Foster-Kennedy syndrome, healthcare professionals typically perform a combination of assessments including:
Treatment Protocols: While the specific treatment plan depends on the underlying cause, common approaches include:
Clinical Advice & FAQs
Billing Guidance
Is H47.149 a billable ICD-10 code?
Yes, H47.149 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H47.149?
Clinical documentation must specify the nature of Foster-Kennedy syndrome, unspecified eye and any associated comorbidities for accurate reporting.
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