Papilledema
ICD-10 H47.1 is a used to indicate a diagnosis of papilledema.
Papilledema is characterized by the swelling of the optic disc due to increased intracranial pressure. This condition can arise from various underlying causes, including intracranial tumors, cerebral hemorrhage, or idiopathic intracranial hypertension. The optic nerve, which transmits visual information from the retina to the brain, becomes compromised, leading to potential vision loss if left untreated. Clinically, patients may present with symptoms such as headaches, transient visual obscurations, and in severe cases, permanent vision impairment. The anatomy involved includes the optic nerve head, the surrounding retinal nerve fiber layer, and the vitreous body, which may also be affected in cases of associated vitreous disorders. Disease progression can vary; if the underlying cause is addressed, papilledema may resolve, but chronic cases can lead to irreversible optic nerve damage. Diagnostic considerations include a thorough ophthalmic examination, optical coherence tomography (OCT), and neuroimaging studies to identify the cause of increased intracranial pressure.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
H47.1 specifically covers papilledema due to various causes of increased intracranial pressure, including but not limited to tumors, infections, and idiopathic intracranial hypertension.
H47.1 should be used when there is clear evidence of optic disc swelling due to increased intracranial pressure, differentiating it from other conditions like optic neuritis or non-papilledematous optic disc edema.
Documentation should include a detailed clinical history, results from a comprehensive eye examination, imaging studies (like MRI or CT), and any relevant laboratory tests that help establish the diagnosis and underlying cause.
