2026 ICD-10-CM Diagnosis Code H47.299Other optic atrophy, unspecified eye

ICD-10-CM CodesH00–H59H46-H47H47

ICD-10-CM H47.299
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H47.299 is a billable ICD-10-CM diagnosis code for other optic atrophy, unspecified eye. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). Coders also document this condition as compressive optic atrophy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Neuro-ophthalmology.

Code Identity

ICD-10-CM Code
H47.299
Billable Status
Yes — Valid for Submission
Code Describes
Other optic atrophy, unspecified eye
Short Description
Other optic atrophy, unspecified eye
Same as the full description in the CMS dataset.
Parent Code
Other 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 CodeH47.299Other optic atrophy, unspecified eye

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Compressive optic atrophy
  • Optic atrophy associated with retinal dystrophy
  • Optic atrophy secondary to papilledema
  • Partial optic atrophy
  • Postinflammatory optic atrophy
  • Secondary optic atrophy

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 Atrophies, Hereditary

    hereditary conditions that feature progressive visual loss in association with optic atrophy. relatively common forms include autosomal dominant optic atrophy (optic atrophy, autosomal dominant) and leber hereditary optic atrophy (optic atrophy, hereditary, leber).
  • 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.
  • Optic Atrophy, Autosomal Dominant

    dominant optic atrophy is a hereditary optic neuropathy causing decreased visual acuity, color vision deficits, a centrocecal scotoma, and optic nerve pallor (hum. genet. 1998; 102: 79-86). mutations leading to this condition have been mapped to the opa1 gene at chromosome 3q28-q29. opa1 codes for a dynamin-related gtpase that localizes to mitochondria.
  • Optic Atrophy, Hereditary, Leber

    a maternally linked genetic disorder that presents in mid-life as acute or subacute central vision loss leading to central scotoma and blindness. the disease has been associated with missense mutations in the mtdna, in genes for complex i, iii, and iv polypeptides, that can act autonomously or in association with each other to cause the disease. (from online mendelian inheritance in man, http://www.ncbi.nlm.nih.gov/omim/, mim#535000 (april 17, 2001))
  • Autosomal Dominant Optic Atrophy

    an autosomal dominant hereditary condition characterized by optic atrophy and progressive visual loss.
  • Dynamin-Like 120 kDa Protein, Mitochondrial|Dynamin-Like Guanosine Triphosphatase|EC 3.6.5.5|Mitochondrial Dynamin-Like GTPase|OPA1|OPA1 Mitochondrial Dynamin Like GTPase|OPA1 Mitochondrial Dynamin-Like GTPase|Optic Atrophy Protein 1

    dynamin-like 120 kda protein, mitochondrial (960 aa, ~112 kda) is encoded by the human opa1 gene. this protein plays a role in gtpase activity that regulates fusion and fission of mitochondria.
  • Hereditary Optic Atrophy

    a family of inherited disorders characterized by progressive loss of vision secondary to death of the retinal ganglion cell axons that comprise the optic nerve.
  • Leber Hereditary Optic Atrophy

    a hereditary disorder caused by mitochondrial mutations, resulting in the degeneration of the retinal ganglion cells and optic atrophy. it is characterized by an acute or subacute loss of central vision. it may initially affect one eye only, but eventually the central loss of vision becomes bilateral.
  • OPA1 wt Allele|BERHS|FLJ12460|KIAA0567|MGM1|MTDPS14|NPG|NTG|OPA1 Mitochondrial Dynamin Like GTPase wt Allele|OPA1 Mitochondrial Dynamin-Like GTPase Gene|OPA1, Mitochondrial Dynamin Like GTPase Gene|Optic Atrophy 1 (Autosomal Dominant) Gene|largeG

    human opa1 wild-type allele is located in the vicinity of 3q29 and is approximately 105 kb in length. this allele, which encodes dynamin-like 120 kda protein, mitochondrial, is involved in the regulation of fusion and fission of mitochondria. mutations in this gene are associated with optic atrophy type 1, mitochondrial dna depletion syndrome 14 and behr syndrome.
  • Optic Atrophy

    a disorder characterized by loss of optic nerve fibers. it may be inherited or acquired. acquired causes include ischemia, optic nerve neuropathy, glaucoma, trauma, radiation, brain tumors, and multiple sclerosis. it leads to vision disturbances.
  • Optic Atrophy 1|Kjer-type Optic Atrophy|OPA1

    an autosomal dominant form of hereditary optic atrophy caused by mutation(s) in the opa1 gene, encoding dynamin-like 120 kda protein, mitochondrial.
  • Wolfram Syndrome|DIDMOAD|DIDMOAD|Diabetes Insipidus, Diabetes Mellitus, Optic Atrophy, and Deafness Syndrome

    a rare inherited syndrome caused by mutations in the wfs1 and cisd2 genes. it is characterized by diabetes insipidus, diabetes mellitus, optic atrophy, and deafness.
  • Early-Onset Progressive Encephalopathy with Brain Atrophy and Thin Corpus Callosum|Early-Onset Progressive Diffuse Brain Atrophy-Microcephaly-Muscle Weakness-Optic Atrophy Syndrome|PEBAT

    an autosomal recessive condition caused by mutation(s) in the tbcd gene, encoding tubulin-specific chaperone d. it is characterized by encephalopathy, cerebellar and cerebral atrophy, and a thin corpus callosum.

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 H47.299 to ICD-9-CMHistory

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

ICD-9-CM
377.12 Postinflam optic atrophy
Approximate The match is approximate rather than exact.
ICD-9-CM
377.13 Optic atrph w retin dyst
Approximate The match is approximate rather than exact.
ICD-9-CM
377.15 Partial optic atrophy
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H47.299Overview

Is H47.299 (Other optic atrophy) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other optic atrophy, unspecified eye on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of H47.299?

Under the General Equivalence Mappings, other optic atrophy, unspecified eye converts to ICD-9-CM 377.12 (postinflam optic atrophy), 377.13 (optic atrph w retin dyst), and 377.15 (partial optic atrophy). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.