H46.03
H46.03 — Optic papillitis, bilateral
Billable / specific codeICD-10-CMbilateral
H46.03 is a billable, specific ICD-10-CM code for optic papillitis, bilateral. It is valid for submission on a claim.
Risk adjustment
H46.03 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
H46.03 is named in 28 Medicare coverage policies — 28 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56551Billing and Coding: Visual Fields Testing
- A56612Billing and Coding: CT of the Head
- A56672Billing and Coding: Electroretinography (ERG)
Related codes at this level
Codes that share H46.0. If H46.03 is not quite right, the correct code is usually one of these.
Questions about H46.03
- Is H46.03 a billable ICD-10-CM code?
- Yes. H46.03 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H46.03 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).