H47.611 vs S04.04
H47.611 (Cortical blindness, right side of brain) compared with S04.04 (Injury of visual cortex), from the official CMS tabular data.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Summary
No coding relationship between these codes was found in the tabular notes or in MedCoder’s derived relationships.
- What is different?
The conditions named, billing status and chapter.H47.611 is “Cortical blindness, right side of brain”; S04.04 is “Injury of visual cortex”. S04.04 is a non-billable header; H47.611 is billable. H47.611 sits in H00-H59 — Diseases of the Eye and Adnexa (H00-H59); S04.04 in S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88).
Registry fact
- Can these codes be reported together?
No instruction prevents it.No note in either entry names the other, and no derived relationship links them. Each may be reported when its own documentation requirements are met.
Registry fact
- Is there an Excludes1 relationship?
None.Neither entry carries an Excludes1 note that names the other code. H47.611 carries 1 Excludes1 note covering other codes; the side-by-side table quotes them.
Official rule
- Is there an Excludes2 relationship?
None.Neither entry carries an Excludes2 note that names the other code. S04.04 carries 9 Excludes2 notes covering other codes; the side-by-side table quotes them.
Official rule
- Is one more specific?
Not comparable.The codes sit in different categories; specificity is only comparable within one category.
- Is one a parent or header code?
One is a header.S04.04 is a non-billable header, but H47.611 is not one of its subdivisions.
Registry fact
- Are there sequencing instructions?
None.Neither entry carries a Code First or Use Additional Code note that names the other.
Official rule
- Are there other coding relationships?
None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.
MedCoder-derived
Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels
Can these codes be reported together?
Yes.
No Excludes1/Excludes2 relationship exists between these codes in the official tabular list. Each may be reported when its own documentation requirements are met.
Side by side
| H47.611Cortical blindness, right side of brain | S04.04Injury of visual cortex | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S04.041A, S04.041D, S04.041S, S04.042A, S04.042D |
| Classification | H00-H59 — Diseases of the Eye and Adnexa (H00-H59) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Cortical blindness, right side of brain is a billable ICD-10-CM diagnosis code (H47.611). | Injury of visual cortex is a non-billable ICD-10-CM category code (S04.04). |
| 7th character | — | The appropriate 7th character is to be added to each code from category S04 |
| Includes | — | injuries of ear injuries of eye injuries of face [any part] injuries of gum |
| Excludes1 | injury to visual cortex S04.04- | — |
| Excludes2 | — | burns and corrosions (T20-T32) effects of foreign body in ear (T16) effects of foreign body in larynx (T17.3) effects of foreign body in mouth NOS (T18.0) effects of foreign body in nose (T17.0-T17.1) effects of foreign body in pharynx (T17.2) effects of foreign body on external eye (T15.-) frostbite (T33-T34) insect bite or sting, venomous (T63.4) |
| Code first | — | any associated intracranial injury (S06.-) |
| Use additional code | — | code to identify any visual field defect or blindness (H53.4-, H54.-) |
| Code also | underlying condition | any associated: open wound of head (S01.-) skull fracture (S02.-) for any associated infection |
Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.
Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources