ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H47.629

Billable / Specific CC

Disorders of visual cortex in (due to) inflammatory disorders, unspecified side of brain

H47
Block
0
Synonyms
31
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM H47.629

ICD-10-CM code H47.629 represents Disorders of visual cortex in (due to) inflammatory disorders, unspecified side of brain. This is a billable/specific code in the Eye and Adnexa chapter (block H47). The 2026 edition of ICD-10-CM H47.629 became effective on October 1, 2025.

Coding Tips for H47.629

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

H47.629 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 visual cortex in (due to) inflammatory disorders, unspecified side of brain. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for H47.629

Local Coverage Determinations (LCDs) from CMS MACs that list H47.629 as a covered diagnosis.

31 LCDs

Showing top 10 of 31 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92081 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70553 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70336 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 72142 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70450 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 72127 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70551 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70543 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H47.629.

2 policies

2 Medicare

Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Visual Field Examination
Policy ID: ART-57637

CPT Codes Commonly Billed with H47.629

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H47.629

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 H47.629 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H47.629 37773 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 H47.629, Billing FAQ

Is ICD-10 code H47.629 billable? +

Yes, H47.629 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is H47.629 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 H47.629 map to? +

Per CMS GEMs, H47.629 maps to ICD-9 codes: 37773. 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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