ICD-10-CM Code H26.033

Valid for Submission

H26.033 is a billable code used to specify a medical diagnosis of infantile and juvenile nuclear cataract, bilateral. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

The code H26.033 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.

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).

Diagnostic Related Groups

The ICD-10 code H26.033 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 10/01/2019 through 09/30/2020.

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

Convert H26.033 to ICD-9

• 366.04 - Nuclear cataract (Approximate Flag)

Code Classification

• Diseases of the eye and adnexa (H00–H59)
  • Disorders of lens (H25-H28)
    • Other cataract (H26)

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

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• Convert H26.033 to ICD-9