ICD-10 Code H47.23 – Glaucomatous optic atrophy (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Glaucomatous optic atrophy is H47.23.
2026 ICD-10-CM Diagnosis Code H47.23 – Glaucomatous optic atrophy

What it is

H47.23 identifies optic nerve damage caused by glaucoma. Use it when the record documents glaucomatous optic atrophy, meaning the optic disc has been damaged from chronic glaucomatous disease.

Clinical signs

Typical findings include optic disc cupping, rim thinning, and corresponding visual field loss. Clinical features vary; refer to documentation for the specific eye findings supporting the diagnosis.

When to use this code

Use this code when the provider documents glaucomatous optic atrophy or optic nerve atrophy due to glaucoma. It may appear in assessments, problem lists, or ophthalmology notes describing established glaucomatous damage. Code it only when the condition is explicitly stated, not when glaucoma is merely suspected.

Do not use for

Do not use it for glaucoma without optic atrophy, optic atrophy from another cause, or nonspecific visual loss. Check documentation if the note does not clearly link the optic nerve damage to glaucoma.

Coding tip

Confirm the provider links the optic atrophy to glaucoma before assigning H47.23.

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