H46.00 — Optic papillitis, unspecified eye
H46.00 is a billable, specific ICD-10-CM code for optic papillitis, unspecified eye. It is valid for submission on a claim.
Risk adjustment
H46.00 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H46.00 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
- A57434Billing and Coding: Vestibular and Audiologic Function Studies
- A57637Billing and Coding: Visual Field Examination
How H46.00 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H46.00.
- Papillitis
Related codes at this level
Codes that share H46.0. If H46.00 is not quite right, the correct code is usually one of these.
Questions about H46.00
- Is H46.00 a billable ICD-10-CM code?
- Yes. H46.00 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H46.00 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of optic nerve and visual pathways (H46-H47).