Not Valid for Submission
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 2022 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 for 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 codes with a higher level of specificity when coding for other cataract:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H26:
Type 1 ExcludesType 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
- 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.
- CAPSULE OPACIFICATION-. clouding or loss of transparency of the posterior lens capsule usually following cataract extraction.
Information for Patients
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
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