H47.41 ICD-10-CM Code: Disorders of optic chiasm in (due to) inflammatory disorders
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FY 2026 Apr update / Diseases of the eye and adnexa (H00-H59) / Disorders of optic nerve and visual pathways (H46-H47)
H47.41
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceDisorders of optic chiasm in (due to) inflammatory disorders
This code describes damage or dysfunction of the optic chiasm (the part of the optic nerve where nerve fibers cross in the brain) that is caused by an inflammatory condition. The inflammation affects how the optic chiasm functions, potentially impacting vision.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H47.41 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H47.41 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H47.41 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H47.41 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H47.41 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H47.41 in this effective period.
Code Also
Official- underlying condition
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is H47.41 an HCC code?
No. H47.41 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- H47.41
- Description
- Disorders of optic chiasm in (due to) inflammatory disorders
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H47.41 is the ICD-10-CM diagnosis code for disorders of optic chiasm in (due to) inflammatory disorders. This code describes damage or dysfunction of the optic chiasm (the part of the optic nerve where nerve fibers cross in the brain) that is caused by an inflammatory condition. The inflammation affects how the optic chiasm functions, potentially impacting vision. H47.41 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).
H47.41 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.
Always code the underlying inflammatory disorder first (such as sarcoidosis, multiple sclerosis, or other inflammatory conditions), then use H47.41 as a secondary code to indicate the optic chiasm involvement.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H47.41 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Always code the underlying inflammatory disorder first (such as sarcoidosis, multiple sclerosis, or other inflammatory conditions), then use H47.41 as a secondary code to indicate the optic chiasm involvement
- •Ensure documentation clearly establishes the causal relationship between the inflammatory disorder and the optic chiasm dysfunction; do not use this code if the optic chiasm disorder is unrelated to inflammation

