ICD-10-CM Code S04.039S

Injury of optic tract and pathways, unspecified side, sequela

Version 2020 Billable Code POA Exempt

Valid for Submission

S04.039S is a billable code used to specify a medical diagnosis of injury of optic tract and pathways, unspecified side, sequela. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code S04.039S might also be used to specify conditions or terms like avulsion of cranial nerve, avulsion of optic nerve, complete division of cranial nerve, disorder of optic tract, injury of optic chiasm, injury of optic radiation, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

ICD-10:S04.039S
Short Description:Injury of optic tract and pathways, unsp side, sequela
Long Description:Injury of optic tract and pathways, unspecified side, sequela

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Avulsion of cranial nerve
  • Avulsion of optic nerve
  • Complete division of cranial nerve
  • Disorder of optic tract
  • Injury of optic chiasm
  • Injury of optic radiation
  • Injury of optic tract
  • Optic nerve and pathway injury
  • Optic nerve and pathway injury
  • Optic nerve and pathway injury
  • Optic radiation disorder
  • Traumatic injury of optic disk
  • Traumatic injury of visual pathways
  • Traumatic optic nerve injury
  • Traumatic optic nerve injury
  • Traumatic optic neuropathy

Present on Admission (POA)

S04.039S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert S04.039S to ICD-9

  • 907.1 - Late eff cran nerve inj (Approximate Flag)

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the head (S00-S09)
      • Injury of cranial nerve (S04)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - Code Updated, effective from 10/1/2017 through 9/30/2018
    • New Description: Injury of optic tract and pathways, unspecified side, sequela
    • Previous Description: Injury of optic tract and pathways, unspecified eye, sequela
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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.


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