H46.3

Toxic optic neuropathy

FY2027Chapter 7: Diseases of the eye and adnexa/H46–H47 Disorders of optic nerve and visual pathways

BillableComplete code, valid to report

H46.3 (also written H463) is a billable ICD-10-CM diagnosis code for toxic optic neuropathy. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 12 codes in category H46 (Optic neuritis). The Alphabetic Index lists it under 1 entry. Its coding notes include a Code first instruction and 13 Excludes2 entries.

Code first

If the underlying condition listed here is present and known, sequence it first.

This code

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from H46 Optic neuritis
  • ischemic optic neuropathy (H47.01-)
  • neuromyelitis optica [Devic] (G36.0)
Also from chapter/block level (11 notes)
Inherited from Chapter 7 Diseases of the eye and adnexa
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 7 Diseases of the eye and adnexa
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 1 entry