2027 ICD-10-CM Diagnosis Code H47.11Papilledema associated with increased intracranial pressure
ICD-10-CM Codes›H00–H59›H46-H47›H47
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Chronic Condition
H47.11 is a billable ICD-10-CM diagnosis code for papilledema associated with increased intracranial pressure. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 91 through 93, 791, 793. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 305 closely related codes. Coders also document this condition as edema of optic disc of bilateral eyes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Neuro-ophthalmology.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Edema of optic disc of bilateral eyes
- Edema of optic disc of bilateral eyes due to intracranial pressure above reference range
- Edema of optic disc of left eye
- Edema of optic disc of left eye due to intracranial pressure above reference range
- Edema of optic disc of right eye
- Edema of optic disc of right eye due to intracranial pressure above reference range
- Papilledema - optic disc edema due to raised intracranial pressure
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to H47.11: its own notes plus those printed at Chapter 7. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Papilledema
swelling of the optic disk, usually in association with increased intracranial pressure, characterized by hyperemia, blurring of the disk margins, microhemorrhages, blind spot enlargement, and engorgement of retinal veins. chronic papilledema may cause optic atrophy and visual loss. (miller et al., clinical neuro-ophthalmology, 4th ed, p175)
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert H47.11 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About H47.11Overview
What is the ICD-10 code for papilledema associated with increased intracranial pressure?
The ICD-10-CM code for papilledema associated with increased intracranial pressure is H47.11 (sometimes written as H4711). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is H47.11 (Papilledema) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report papilledema associated with increased intracranial pressure on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does H47.11 group to?
When papilledema associated with increased intracranial pressure is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 91, 92, 93, with relative weights from 0.7783 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.
Is H47.11 a CC or MCC?
CMS lists H47.11 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 305 closely related codes in its exclusion list.
What is the ICD-9 equivalent of H47.11?
Under the General Equivalence Mappings, papilledema associated with increased intracranial pressure converts to ICD-9-CM 377.01 (papilledema w incr press). The mapping is a direct match.
