Glaucomatous optic atrophy, unspecified eye

This code signifies damage to the optic nerve due to glaucoma, resulting in atrophy, where the specific eye affected is not documented. It indicates a permanent loss of nerve fibers, leading to visual field defects and potential vision loss. This atrophy is a hallmark of advanced or uncontrolled glaucoma.

Use this code when the medical record clearly states "glaucomatous optic atrophy" but does not specify whether it affects the right, left, or both eyes. This is appropriate when the physician's documentation lacks laterality for the optic nerve damage directly attributable to glaucoma. Supporting documentation would include ophthalmology reports noting optic disc pallor, cupping, and nerve fiber layer thinning in the context of a glaucoma diagnosis.

• Avoid using this code if laterality (right, left, or bilateral) is documented; instead, choose the more specific H47.231, H47.232, or H47.233.
• This code should be sequenced after the primary glaucoma diagnosis (e.g., H40.xx) to indicate the sequela of the condition.
• Query the provider for clarification on laterality if possible, as more specific codes offer better data for patient care and reimbursement.