H46.3 — Toxic optic neuropathy
Is H46.3 billable?
Yes — H46.3 is billable for FY2027. H46.3 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H46.3 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H46.3 at a glance
| Code | H46.3 |
|---|---|
| Description | Toxic optic neuropathy |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H46.3 group to?
H46.3 sits in MDC 02 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 123Neurological Eye Disordersmedical
How is H46.3 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to H46.3. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Neuritis › optic › toxic (rheumatoid)
Code first
The underlying condition below must be sequenced before H46.3. H46.3 describes a manifestation and cannot be the principal or first-listed diagnosis.
- (T51-T65) to identify cause
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H46.3, but a patient may have both at the same time. When documentation supports it, H46.3 and the excluded code may both be reported.
- 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)
Excludes2 — not included here — inherited from H46
The conditions below are not part of H46.3, but a patient may have both at the same time. When documentation supports it, H46.3 and the excluded code may both be reported.
How long has H46.3 existed?
H46.3 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.