Is H46.13 a billable ICD-10-CM code?

Yes. H46.13 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H46.13 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).

H46.13

H46.13 — Retrobulbar neuritis, bilateral

Billable / specific codeICD-10-CMbilateral

H46.13 is a billable, specific ICD-10-CM code for retrobulbar neuritis, bilateral. It is valid for submission on a claim.

Risk adjustment

H46.13 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

H46.13 is named in 26 Medicare coverage policies — 26 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 H46.1. If H46.13 is not quite right, the correct code is usually one of these.

Questions about H46.13

Is H46.13 a billable ICD-10-CM code?: Yes. H46.13 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H46.13 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).