MCMedicalCodingSoftware
H47.11

H47.11: Papilledema associated with increased intracranial pressure

Billable / specific codeICD-10-CM

H47.11 is a billable, specific ICD-10-CM code for papilledema associated with increased intracranial pressure. It is valid for submission on a claim.

Check H47.11 with the rest of the claim: free scrubber

Risk adjustment

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

Medicare coverage

H47.11 is named in 25 Medicare coverage policies: 25 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
  • A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
  • A56551Billing and Coding: Visual Fields Testing
  • A56612Billing and Coding: CT of the Head

Alphabetic index entries that lead here

  • Papilledema›associated with›increased intracranial pressure

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H47.1

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.