ICD-10 H47.43
Billable / Specific CCDisorders of optic chiasm in (due to) vascular disorders
About ICD-10-CM H47.43
ICD-10-CM code H47.43 represents Disorders of optic chiasm in (due to) vascular disorders. This is a billable/specific code in the Eye and Adnexa chapter (block H47). The 2026 edition of ICD-10-CM H47.43 became effective on October 1, 2025.
Coding Tips for H47.43
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
H47.43 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inpatient DRG Impact, CC
codes Disorders of optic chiasm in (due to) vascular disorders. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for H47.43
Local Coverage Determinations (LCDs) from CMS MACs that list H47.43 as a covered diagnosis.
Showing top 10 of 171 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H47.43.
5 Medicare
CPT Codes Commonly Billed with H47.43
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert H47.43 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| H47.43 | 37753 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H47.43
Other codes in section H46-H47 (Disorders of optic nerve and visual pathways).
ICD-10 H47.43, Billing FAQ
Is ICD-10 code H47.43 billable? +
Yes, H47.43 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is H47.43 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What ICD-9 codes does H47.43 map to? +
Per CMS GEMs, H47.43 maps to ICD-9 codes: 37753. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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