2027 ICD-10-CM Diagnosis Code H47.233Glaucomatous optic atrophy, bilateral

ICD-10-CM Codes›H00–H59›H46-H47›H47

ICD-10-CM H47.233
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H47.233 is a billable ICD-10-CM diagnosis code for glaucomatous optic atrophy, bilateral. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. Coders also document this condition as atrophy of bilateral eyes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Neuro-ophthalmology.

Code Identity

ICD-10-CM Code
H47.233
Billable Status
Yes — Valid for Submission
Code Describes
Glaucomatous optic atrophy, bilateral
Short Description
Glaucomatous optic atrophy, bilateral
Same as the full description in the CMS dataset.
Parent Code
H47.23
Glaucomatous optic atrophy

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH46-H47Disorders of optic nerve and visual pathways
CategoryH47Other disorders of optic [2nd] nerve and visual pathways
This CodeH47.233Glaucomatous optic atrophy, bilateral

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Atrophy of bilateral eyes
  • Atrophy of fundus of eye
  • Atrophy of optic disc
  • Atrophy of optic disc of bilateral eyes due to glaucoma
  • Atrophy of optic disc of left eye due to glaucoma
  • Atrophy of optic disc of right eye due to glaucoma
  • Bilateral optic atrophy of eyes
  • Glaucomatous atrophy of optic disc

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H47.233: 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.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • 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.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • 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.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE006
Neuro-ophthalmology
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Optic Atrophy

    atrophy of the optic disk which may be congenital or acquired. this condition indicates a deficiency in the number of nerve fibers which arise in the retina and converge to form the optic disk; optic nerve; optic chiasm; and optic tracts. glaucoma; ischemia; inflammation, a chronic elevation of intracranial pressure, toxins, optic nerve compression, and inherited conditions (see optic atrophies, hereditary) are relatively common causes of this condition.

Patient EducationClinical

Glaucoma

Glaucoma is a group of diseases that can damage the optic nerve of one, or both, of your eyes. This can result in vision loss. There are different types of glaucoma, but the most common type is open-angle glaucoma. Other less common types include angle-closure glaucoma, and congenital glaucoma.

The full article covers:

  • What is glaucoma?
  • What causes glaucoma?
  • What are the symptoms of glaucoma?
  • How is glaucoma diagnosed?
  • What are the treatments for glaucoma?
  • Can glaucoma be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H47.233 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
377.14 Cupping of optic disc
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H47.233Overview

What is the ICD-10 code for glaucomatous optic atrophy, bilateral?

The ICD-10-CM code for glaucomatous optic atrophy, bilateral is H47.233 (sometimes written as H47233). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H47.233 (Glaucomatous optic atrophy) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report glaucomatous optic atrophy, bilateral on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H47.233 group to?

When glaucomatous optic atrophy, bilateral is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H47.233?

Under the General Equivalence Mappings, glaucomatous optic atrophy, bilateral converts to ICD-9-CM 377.14 (cupping of optic disc). The mapping is approximate, so confirm the match fits the documentation.