Pseudopapilledema of optic disc, right eye

This code describes a benign, congenital anomaly of the optic nerve head in the right eye, characterized by an elevated appearance that mimics true papilledema but without actual swelling or leakage. It results from an anomalous optic disc elevation due to an excess of glial tissue, often associated with optic disc drusen.

Use this code when documentation confirms the diagnosis of pseudopapilledema affecting the right eye, typically identified during an ophthalmoscopic examination. This diagnosis is often made after ruling out true papilledema through further diagnostic tests, such as optical coherence tomography (OCT) or fluorescein angiography, which would show no leakage or true edema.

• Differentiate carefully from true papilledema (H47.31-), which indicates actual optic disc swelling due to increased intracranial pressure.
• Ensure laterality is clearly documented (right eye). If bilateral, use the appropriate bilateral code.
• Look for documentation of optic disc drusen, as this is a common underlying cause of pseudopapilledema.