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  6. 2024 ICD-10-CM Code H26.1
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code H26.1

Traumatic cataract

ICD-10-CM Code:
H26.1
ICD-10 Code for:
Traumatic cataract
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

H26.1 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of traumatic cataract. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Traumatic cataract

Non-specific codes like H26.1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for traumatic cataract:

  • H26.10 for Unspecified traumatic cataract - NON-BILLABLE CODE

  • Use H26.101 for Unspecified traumatic cataract, right eye - BILLABLE CODE

  • Use H26.102 for Unspecified traumatic cataract, left eye - BILLABLE CODE

  • Use H26.103 for Unspecified traumatic cataract, bilateral - BILLABLE CODE

  • Use H26.109 for Unspecified traumatic cataract, unspecified eye - BILLABLE CODE

  • H26.11 for Localized traumatic opacities - NON-BILLABLE CODE

  • Use H26.111 for Localized traumatic opacities, right eye - BILLABLE CODE

  • Use H26.112 for Localized traumatic opacities, left eye - BILLABLE CODE

  • Use H26.113 for Localized traumatic opacities, bilateral - BILLABLE CODE

  • Use H26.119 for Localized traumatic opacities, unspecified eye - BILLABLE CODE

  • H26.12 for Partially resolved traumatic cataract - NON-BILLABLE CODE

  • Use H26.121 for Partially resolved traumatic cataract, right eye - BILLABLE CODE

  • Use H26.122 for Partially resolved traumatic cataract, left eye - BILLABLE CODE

  • Use H26.123 for Partially resolved traumatic cataract, bilateral - BILLABLE CODE

  • Use H26.129 for Partially resolved traumatic cataract, unspecified eye - BILLABLE CODE

  • H26.13 for Total traumatic cataract - NON-BILLABLE CODE

  • Use H26.131 for Total traumatic cataract, right eye - BILLABLE CODE

  • Use H26.132 for Total traumatic cataract, left eye - BILLABLE CODE

  • Use H26.133 for Total traumatic cataract, bilateral - BILLABLE CODE

  • Use H26.139 for Total traumatic cataract, unspecified eye - BILLABLE CODE

Clinical Information

  • Capsule Opacification

    clouding or loss of transparency of the posterior lens capsule, usually following cataract extraction.

  • Cataract

    partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. the many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (dorland, 27th ed)

  • Cataract Extraction

    the removal of a cataractous crystalline lens from the eye.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • code (Chapter 20) to identify external cause

Patient Education


Cataract

A cataract is a clouding of the lens in your eye. It affects your vision. Cataracts are very common in older people. By age 80, more than half of all Americans either have a cataract or have had cataract surgery.

A cataract can occur in either or both eyes. It cannot spread from one eye to the other. Common symptoms are:

  • Blurry vision
  • Colors that seem faded
  • Glare - headlights, lamps or sunlight may seem too bright. You may also see a halo around lights.
  • Not being able to see well at night
  • Double vision
  • Frequent prescription changes in your eye wear

Cataracts usually develop slowly. New glasses, brighter lighting, anti-glare sunglasses or magnifying lenses can help at first. Surgery is also an option. It involves removing the cloudy lens and replacing it with an artificial lens. Wearing sunglasses and a hat with a brim to block ultraviolet sunlight may help to delay cataracts.

NIH: National Eye Institute


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.