ICD-10 Code H47.333 – Pseudopapilledema of optic disc, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H47.333 – Pseudopapilledema of optic disc, bilateral
What it is
H47.333 identifies bilateral pseudopapilledema, meaning both optic discs appear elevated or swollen without true optic nerve edema. It is often linked to optic disc drusen or a congenitally crowded disc.
Clinical signs
Typical findings include bilateral disc elevation with blurred margins, but without evidence of active papilledema. Clinical features vary; refer to documentation, especially when the record mentions drusen, stable appearance, or no signs of raised intracranial pressure.
When to use this code
Use this code when the provider documents pseudopapilledema in both eyes or notes bilateral optic disc elevation that is not due to true swelling. It fits ophthalmology records describing optic disc drusen or congenital disc crowding. Code only when the diagnosis is明确 in the chart.
Do not use for
Do not use H47.333 for true papilledema, optic neuritis, or other causes of optic disc swelling. Check documentation if the note describes uncertainty, unilateral findings, or a different optic nerve disorder.
Coding tip
Assign H47.333 only when bilateral pseudopapilledema is specifically documented, not when the record merely says “optic disc swelling.”