H47.531 ICD-10-CM Code: Disorders of visual pathways in (due to) vascular disorders, right side
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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)
H47.531
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceDisorders of visual pathways in (due to) vascular disorders, right side
Problems with the visual pathways on the right side of the brain caused by blood vessel disorders such as stroke or vascular insufficiency.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H47.531 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H47.531 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H47.531 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H47.531 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H47.531 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H47.531 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H47.531 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is H47.531 an HCC code?
No. H47.531 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
H47.531 is the ICD-10-CM diagnosis code for disorders of visual pathways in (due to) vascular disorders, right side. Problems with the visual pathways on the right side of the brain caused by blood vessel disorders such as stroke or vascular insufficiency. H47.531 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).
H47.531 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.
Confirm laterality is documented as right side; if not specified, use H47.539.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H47.531 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Confirm laterality is documented as right side; if not specified, use H47.539
- •Link this code to the underlying vascular condition (e.g., cerebral infarction, arterial occlusion)