ICD-10 Code H46.8 – Other optic neuritis (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Other optic neuritis is H46.8.
2026 ICD-10-CM Diagnosis Code H46.8 – Other optic neuritis

What it is

H46.8 identifies optic neuritis that does not fit a more specific ICD-10 category. It refers to inflammation of the optic nerve causing visual disturbance, with the exact cause or subtype not otherwise specified.

Clinical signs

Common findings include decreased vision, pain with eye movement, reduced color perception, and an abnormal pupillary response. Clinical features vary; refer to documentation.

When to use this code

Use H46.8 when the record documents optic neuritis but does not name a more specific type, such as retrobulbar or demyelinating optic neuritis. This code is appropriate when the provider identifies “other” optic neuritis or when the subtype is not clearly classified. Check documentation if laterality or a more specific diagnosis is available.

Do not use for

Do not use this code for optic neuritis with a more specific documented type or for noninflammatory optic nerve disorders. If the chart does not support optic neuritis, check documentation before assigning H46.8.

Coding tip

Assign the most specific optic neuritis code available; use H46.8 only when the provider’s documentation supports a nonspecific “other” diagnosis.

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