Version 2024

2024 ICD-10-CM Diagnosis Code H26

Other cataract

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

Code Classification

H26 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other 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 Other cataract

Non-specific codes like H26 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 other cataract:

  • H26.0 for Infantile and juvenile cataract - NON-BILLABLE CODE

  • H26.00 for Unspecified infantile and juvenile cataract - NON-BILLABLE CODE

  • H26.01 for Infantile and juvenile cortical, lamellar, or zonular cataract - NON-BILLABLE CODE

  • H26.03 for Infantile and juvenile nuclear cataract - NON-BILLABLE CODE

  • H26.04 for Anterior subcapsular polar infantile and juvenile cataract - NON-BILLABLE CODE

  • H26.05 for Posterior subcapsular polar infantile and juvenile cataract - NON-BILLABLE CODE

  • H26.06 for Combined forms of infantile and juvenile cataract - NON-BILLABLE CODE

  • Use H26.09 for Other infantile and juvenile cataract - BILLABLE CODE

  • H26.1 for Traumatic cataract - NON-BILLABLE CODE

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

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

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

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

  • H26.2 for Complicated cataract - NON-BILLABLE CODE

  • Use H26.20 for Unspecified complicated cataract - BILLABLE CODE

  • H26.21 for Cataract with neovascularization - NON-BILLABLE CODE

  • H26.22 for Cataract secondary to ocular disorders (degenerative) (inflammatory) - NON-BILLABLE CODE

  • H26.23 for Glaucomatous flecks (subcapsular) - NON-BILLABLE CODE

  • H26.3 for Drug-induced cataract - NON-BILLABLE CODE

  • Use H26.30 for Drug-induced cataract, unspecified eye - BILLABLE CODE

  • Use H26.31 for Drug-induced cataract, right eye - BILLABLE CODE

  • Use H26.32 for Drug-induced cataract, left eye - BILLABLE CODE

  • Use H26.33 for Drug-induced cataract, bilateral - BILLABLE CODE

  • H26.4 for Secondary cataract - NON-BILLABLE CODE

  • Use H26.40 for Unspecified secondary cataract - BILLABLE CODE

  • H26.41 for Soemmering's ring - NON-BILLABLE CODE

  • H26.49 for Other secondary cataract - NON-BILLABLE CODE

  • Use H26.8 for Other specified cataract - BILLABLE CODE

  • Use H26.9 for Unspecified cataract - 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.


Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • congenital cataract Q12.0

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.