ICD-10 Code H47.49 – Disorders of optic chiasm in (due to) other disorders (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Disorders of optic chiasm in (due to) other disorders is H47.49.
2026 ICD-10-CM Diagnosis Code H47.49 – Disorders of optic chiasm in (due to) other disorders

What it is

This code identifies optic chiasm disorders caused by another underlying condition. It covers documented chiasmal involvement when the cause is not classified elsewhere.

Clinical signs

Clinical features vary; refer to documentation. Common findings may include visual field defects, reduced visual acuity, or other signs of optic pathway dysfunction.

When to use this code

Use H47.49 when the record states a disorder of the optic chiasm due to another disease, injury, or process, and no more specific code applies. You should support the code with provider documentation linking the chiasmal disorder to the underlying condition. If the cause is unclear, check documentation before coding.

Do not use for

Do not use this code for general visual disturbances without documented optic chiasm involvement. Also avoid it when a more specific diagnosis or etiology is documented elsewhere.

Coding tip

Code the underlying condition first when documented, and use H47.49 only for the chiasmal disorder itself.

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