H46.11
Retrobulbar neuritis, right eye
Clinical Classification Guidelines
Medical Intelligence & Overview
Retrobulbar neuritis, also known as optic neuritis, is a condition characterized by inflammation of the optic nerve behind the eyeball. When it affects the right eye specifically, it's termed retrobulbar neuritis of the right eye, corresponding to ICD-10 code H46.11. This condition can lead to visual disturbances and requires prompt medical attention to identify underlying causes and manage symptoms effectively.
Causes & Symptoms
Clinical Causes: Multiple sclerosis: An autoimmune disorder that damages nerve coverings, including the optic nerve. Infections: Such as viral infections like measles, mumps, or herpes simplex, which can trigger inflammation. Autoimmune diseases: Conditions like lupus or sarcoidosis that involve immune system dysfunction. Neurodegenerative disorders: Rarely, other neurological causes may contribute to inflammation. Other factors: Trauma, certain medications, or toxins might also play a role in some cases.
Key Symptoms: Sudden decrease or loss of vision in the affected eye. Pain or discomfort, especially during eye movement. Color vision changes, often duller or washed out. Visual field defects, such as blind spots. Possible flickering or flashing lights associated with eye movement. Altered perception of bright or contrasting visuals.
Diagnostic & Treatment
Diagnosis Path: Diagnosing retrobulbar neuritis generally involves a comprehensive eye examination along with several diagnostic tests. An ophthalmologist or neurologist will assess visual acuity, examine the optic nerve appearance, and conduct tests such as:
Treatment Protocols: Treatment strategies depend on the underlying cause, severity, and the patient's overall health. Common approaches include:
Clinical Advice & FAQs
Billing Guidance
Is H46.11 a billable ICD-10 code?
Yes, H46.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H46.11?
Clinical documentation must specify the nature of Retrobulbar neuritis, right eye and any associated comorbidities for accurate reporting.
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