2026 ICD-10-CM Diagnosis Code H26.103Unspecified traumatic cataract, bilateral

ICD-10-CM Codes›H00–H59›H25-H28›H26

ICD-10-CM H26.103
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H26.103 is a billable ICD-10-CM diagnosis code for unspecified traumatic cataract, bilateral. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 124 through 125. Coders also document this condition as bilateral cataract of eyes due to and following trauma. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Cataract and other lens disorders.

Code Identity

ICD-10-CM Code
H26.103
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified traumatic cataract, bilateral
Short Description
Unspecified traumatic cataract, bilateral
Same as the full description in the CMS dataset.
Parent Code
H26.10
Unspecified traumatic cataract

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH25-H28Disorders of lens
CategoryH26Other cataract
This CodeH26.103Unspecified traumatic cataract, bilateral

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral cataract of eyes due to and following trauma
  • Cataract of left eye due to and following trauma
  • Cataract of right eye due to and following trauma

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE002
Cataract and other lens disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H26.103 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
366.20 Traumatic cataract NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H26.103Overview

Is H26.103 (Unspecified traumatic cataract) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified traumatic cataract, bilateral on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H26.103 group to?

When unspecified traumatic cataract, bilateral is the principal diagnosis on an inpatient stay, it groups to MS-DRG 124, 125, with relative weights from 0.7678 to 1.3231 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H26.103?

Under the General Equivalence Mappings, unspecified traumatic cataract, bilateral converts to ICD-9-CM 366.20 (traumatic cataract NOS). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.