ICD-10-CM Code H26.019

Infantile and juvenile cortical, lamellar, or zonular cataract, unspecified eye

Version 2020 Billable Code Pediatric Diagnoses

Valid for Submission

H26.019 is a billable code used to specify a medical diagnosis of infantile and juvenile cortical, lamellar, or zonular cataract, unspecified eye. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code H26.019 might also be used to specify conditions or terms like cortical cataract or immature cataract or immature cortical cataract or lamellar zonular cataract or zonular nonsenile cataract.

The code H26.019 is applicable for patients aged 0 through 17 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

ICD-10:H26.019
Short Description:Infantile & juv cortical/lamellar/zonular cataract, unsp eye
Long Description:Infantile and juvenile cortical, lamellar, or zonular cataract, unspecified eye

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Pediatric diagnoses - Pediatric. Age range is 0–17 years inclusive (e.g., Reye’s syndrome, routine child health exam).

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Cortical cataract
  • Immature cataract
  • Immature cortical cataract
  • Lamellar zonular cataract
  • Zonular nonsenile cataract

Diagnostic Related Groups

The ICD-10 code H26.019 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 124 - OTHER DISORDERS OF THE EYE WITH MCC
  • 125 - OTHER DISORDERS OF THE EYE WITHOUT MCC

Convert H26.019 to ICD-9

  • 366.03 - Cortical cataract (Approximate Flag)

Code Classification

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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


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