| S04.031 | Injury of optic tract and pathways, right side | NON-BILLABLE CODE |
| S04.031A | Injury of optic tract and pathways, right side, initial encounter | BILLABLE CODE |
| S04.031D | Injury of optic tract and pathways, right side, subsequent encounter | BILLABLE CODE |
| S04.031S | Injury of optic tract and pathways, right side, sequela | BILLABLE CODE |
| S04.032 | Injury of optic tract and pathways, left side | NON-BILLABLE CODE |
| S04.032A | Injury of optic tract and pathways, left side, initial encounter | BILLABLE CODE |
| S04.032D | Injury of optic tract and pathways, left side, subsequent encounter | BILLABLE CODE |
| S04.032S | Injury of optic tract and pathways, left side, sequela | BILLABLE CODE |
| S04.039 | Injury of optic tract and pathways, unspecified side | NON-BILLABLE CODE |
| S04.039A | Injury of optic tract and pathways, unspecified side, initial encounter | BILLABLE CODE |
| S04.039D | Injury of optic tract and pathways, unspecified side, subsequent encounter | BILLABLE CODE |
| S04.039S | Injury of optic tract and pathways, unspecified side, sequela | BILLABLE CODE |
