Q04.4
BillableSepto-optic dysplasia of brain
HCC Category Mapping
V28HCC 182 — Spinal Cord Disorders/Injuries
0.282V24HCC 72 — Spinal Cord Disorders/Injuries
0.464ESRDHCC 72 — Spinal Cord Disorders/Injuries
0.000RxHCCHCC 155 — Myelitis and Encephalomyelitis
0.000What This Code Means
A birth defect characterized by underdevelopment of the optic nerves and a thin or absent pituitary gland, affecting vision and hormone regulation.
Coding Tips
- •This condition requires documentation of both optic nerve and pituitary involvement
- •Code associated endocrine abnormalities separately if present
Clinical Significance
Septo-optic dysplasia involves underdevelopment of optic nerves and absent septum pellucidum, often with pituitary dysfunction. This condition requires multidisciplinary care including ophthalmology, endocrinology, and neurology for comprehensive management of visual and hormonal deficits.
Documentation Requirements
- ✓Documentation of optic nerve hypoplasia or dysplasia
- ✓Evidence of absent or thin septum pellucidum on neuroimaging
- ✓Visual function assessment and ophthalmologic examination
- ✓Endocrine evaluation for pituitary dysfunction
- ✓Neuroimaging confirming septo-optic dysplasia features
- ✓Developmental assessment and neurological examination
- ✓Growth hormone and other pituitary hormone testing
- ✓Multidisciplinary care coordination documentation
Commonly Confused Codes
H47.03 — Optic nerve hypoplasia alone without septal abnormalitiesQ04.0 — Corpus callosum malformation involves different brain structuresE23.0 — Hypopituitarism may be component but doesn't include structural brain abnormalitiesH54.0 — Blindness is functional outcome, not structural diagnosisQ87.1 — Congenital malformation syndromes may be broader diagnoses
Code Hierarchy
└Q04Other congenital malformations of brain└Q04.4Septo-optic dysplasia of brain
└Q04.4Septo-optic dysplasia of brain