Not Valid for Submission
H46.1 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of retrobulbar neuritis. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Retrobulbar neuritis
Non-specific codes like H46.1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for retrobulbar neuritis:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H46.1:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Retrobulbar neuritis NOS
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- syphilitic retrobulbar neuritis A52.15
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code H46.1 are found in the index:
- OPTIC NEURITIS-. inflammation of the optic nerve. commonly associated conditions include autoimmune disorders such as multiple sclerosis infections and granulomatous diseases. clinical features include retro orbital pain that is aggravated by eye movement loss of color vision and contrast sensitivity that may progress to severe visual loss an afferent pupillary defect marcus gunn pupil and in some instances optic disc hyperemia and swelling. inflammation may occur in the portion of the nerve within the globe neuropapillitis or anterior optic neuritis or the portion behind the globe retrobulbar neuritis or posterior optic neuritis.
Information for Patients
Optic Nerve Disorders
The optic nerve is a bundle of more than 1 million nerve fibers that carry visual messages. You have one connecting the back of each eye (your retina) to your brain. Damage to an optic nerve can cause vision loss. The type of vision loss and how severe it is depends on where the damage occurs. It may affect one or both eyes.
There are many different types of optic nerve disorders, including:
- Glaucoma is a group of diseases that are the leading cause of blindness in the United States. Glaucoma usually happens when the fluid pressure inside the eyes slowly rises and damages the optic nerve.
- Optic neuritis is an inflammation of the optic nerve. Causes include infections and immune-related illnesses such as multiple sclerosis. Sometimes the cause is unknown.
- Optic nerve atrophy is damage to the optic nerve. Causes include poor blood flow to the eye, disease, trauma, or exposure to toxic substances.
- Optic nerve head drusen are pockets of protein and calcium salts that build up in the optic nerve over time
Contact your health care provider if you are having vision problems. Tests for optic nerve disorders may include eye exams, ophthalmoscopy (an examination of the back of your eye), and imaging tests. Treatment depends on which disorder that you have. With some optic nerve disorders, you may get your vision back. With others, there is no treatment, or treatment may only prevent further vision loss.
[Learn More in MedlinePlus]