H47.22 — Hereditary optic atrophy
H47.22 is a billable, specific ICD-10-CM code for hereditary optic atrophy. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Leber's optic atrophy
Other codes that can never be billed with H47.22
These codes carry an Excludes1 note pointing at H47.22. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H47.22 alone.
- E88.4Mitochondrial metabolism disorders
Risk adjustment
H47.22 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
H47.22 is named in 18 Medicare coverage policies — 18 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
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56551Billing and Coding: Visual Fields Testing
- A56672Billing and Coding: Electroretinography (ERG)
How H47.22 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 H47.22.
- Neuroretinopathy, hereditary optic
- Atrophy, atrophic›Leber's optic(hereditary)
- Leber's›optic atrophy(hereditary)
- Atrophy, atrophic›optic›hereditary
Related codes at this level
Codes that share H47.2. If H47.22 is not quite right, the correct code is usually one of these.
Questions about H47.22
- Is H47.22 a billable ICD-10-CM code?
- Yes. H47.22 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H47.22 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).