H47.293
BillableOther optic atrophy, bilateral
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H47.293 an HCC code?
No. H47.293 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H47.293 is the ICD-10-CM diagnosis code for other optic atrophy, bilateral. Progressive degeneration and shrinkage of the optic nerve affecting both eyes, which can lead to vision loss over time. H47.293 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of optic nerve and visual pathways (h46-h47).
H47.293 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Verify documentation specifies bilateral involvement; if only one eye is affected, use H47.291 or H47.292 instead.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H47.293 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.