H47.49
Disorders of optic chiasm in (due to) other disorders
H47.49 (also written H4749) is a billable ICD-10-CM diagnosis code for disorders of optic chiasm in (due to) other disorders. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 80 codes in category H47 (Other disorders of optic [2nd] nerve and visual pathways). The Alphabetic Index lists it under 1 entry. Its coding notes include a Code also instruction and 11 Excludes2 entries.
Code also
Two codes may be needed to describe the condition. This note gives no sequencing order.
- underlying condition
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (11 notes)
- 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)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Home Health Primary
Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.
Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026Hospital CC
Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 13 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.
Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix CNotes
Also from chapter/block level (1 note)
- 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