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.

Check H46.13 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H46.13

A category’s note binds every code beneath it.

Written on H46.1: Retrobulbar neuritis

syphilitic retrobulbar neuritis (A52.15)

Excludes2 inherited from the categories above H46.13

Not part of this code, but both may be coded when both are present.

Written on H46: Optic neuritis

ischemic optic neuropathy (H47.01-)
neuromyelitis optica [Devic] (G36.0)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H46.13 is named in 22 Medicare coverage policies: 22 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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)

Code history

Unchanged in every release from FY2024 to FY2027.