Other cataract
In Disorders of lens (H25-H28), chapter 7: Diseases of the Eye and Adnexa
69 billable codes under H26: none are a CC or MCC; none map to an HCC.
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Instructional notes
Excludes1: not coded here, use a different code
- congenital cataract (Q12.0)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers coding glaucoma by type, eye, and stage, including bilateral cases and stage changes, and coding blindness or low vision when the impairment category is undocumented.
All codes under H26
H26 can't be used on a claim. Pick a billable code below; grey headings group them.
- H26.0Infantile and juvenile cataract
- H26.00Unspecified infantile and juvenile cataract
- H26.001Unspecified infantile and juvenile cataract, right eye
- H26.002Unspecified infantile and juvenile cataract, left eye
- H26.003Unspecified infantile and juvenile cataract, bilateral
- H26.009Unspecified infantile and juvenile cataract, unspecified eye
- H26.01Infantile and juvenile cortical, lamellar, or zonular cataract
- H26.011Infantile and juvenile cortical, lamellar, or zonular cataract, right eye
- H26.012Infantile and juvenile cortical, lamellar, or zonular cataract, left eye
- H26.013Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral
- H26.019Infantile and juvenile cortical, lamellar, or zonular cataract, unspecified eye
- H26.03Infantile and juvenile nuclear cataract
- H26.031Infantile and juvenile nuclear cataract, right eye
- H26.032Infantile and juvenile nuclear cataract, left eye
- H26.033Infantile and juvenile nuclear cataract, bilateral
- H26.039Infantile and juvenile nuclear cataract, unspecified eye
- H26.04Anterior subcapsular polar infantile and juvenile cataract
- H26.041Anterior subcapsular polar infantile and juvenile cataract, right eye
- H26.042Anterior subcapsular polar infantile and juvenile cataract, left eye
- H26.043Anterior subcapsular polar infantile and juvenile cataract, bilateral
- H26.049Anterior subcapsular polar infantile and juvenile cataract, unspecified eye
- H26.05Posterior subcapsular polar infantile and juvenile cataract
- H26.051Posterior subcapsular polar infantile and juvenile cataract, right eye
- H26.052Posterior subcapsular polar infantile and juvenile cataract, left eye
- H26.053Posterior subcapsular polar infantile and juvenile cataract, bilateral
- H26.059Posterior subcapsular polar infantile and juvenile cataract, unspecified eye
- H26.06Combined forms of infantile and juvenile cataract
- H26.061Combined forms of infantile and juvenile cataract, right eye
- H26.062Combined forms of infantile and juvenile cataract, left eye
- H26.063Combined forms of infantile and juvenile cataract, bilateral
- H26.069Combined forms of infantile and juvenile cataract, unspecified eye
- H26.09Other infantile and juvenile cataract
- H26.1Traumatic cataract
- H26.10Unspecified traumatic cataract
- H26.101Unspecified traumatic cataract, right eye
- H26.102Unspecified traumatic cataract, left eye
- H26.103Unspecified traumatic cataract, bilateral
- H26.109Unspecified traumatic cataract, unspecified eye
- H26.11Localized traumatic opacities
- H26.111Localized traumatic opacities, right eye
- H26.112Localized traumatic opacities, left eye
- H26.113Localized traumatic opacities, bilateral
- H26.119Localized traumatic opacities, unspecified eye
- H26.12Partially resolved traumatic cataract
- H26.121Partially resolved traumatic cataract, right eye
- H26.122Partially resolved traumatic cataract, left eye
- H26.123Partially resolved traumatic cataract, bilateral
- H26.129Partially resolved traumatic cataract, unspecified eye
- H26.13Total traumatic cataract
- H26.131Total traumatic cataract, right eye
- H26.132Total traumatic cataract, left eye
- H26.133Total traumatic cataract, bilateral
- H26.139Total traumatic cataract, unspecified eye
- H26.2Complicated cataract
- H26.20Unspecified complicated cataract
- H26.21Cataract with neovascularization
- H26.211Cataract with neovascularization, right eye
- H26.212Cataract with neovascularization, left eye
- H26.213Cataract with neovascularization, bilateral
- H26.219Cataract with neovascularization, unspecified eye
- H26.22Cataract secondary to ocular disorders (degenerative) (inflammatory)
- H26.221Cataract secondary to ocular disorders (degenerative) (inflammatory), right eye
- H26.222Cataract secondary to ocular disorders (degenerative) (inflammatory), left eye
- H26.223Cataract secondary to ocular disorders (degenerative) (inflammatory), bilateral
- H26.229Cataract secondary to ocular disorders (degenerative) (inflammatory), unspecified eye
- H26.23Glaucomatous flecks (subcapsular)
- H26.231Glaucomatous flecks (subcapsular), right eye
- H26.232Glaucomatous flecks (subcapsular), left eye
- H26.233Glaucomatous flecks (subcapsular), bilateral
- H26.239Glaucomatous flecks (subcapsular), unspecified eye
- H26.3Drug-induced cataract
- H26.30Drug-induced cataract, unspecified eye
- H26.31Drug-induced cataract, right eye
- H26.32Drug-induced cataract, left eye
- H26.33Drug-induced cataract, bilateral
- H26.4Secondary cataract
- H26.40Unspecified secondary cataract
- H26.41Soemmering's ring
- H26.411Soemmering's ring, right eye
- H26.412Soemmering's ring, left eye
- H26.413Soemmering's ring, bilateral
- H26.419Soemmering's ring, unspecified eye
- H26.49Other secondary cataract
- H26.491Other secondary cataract, right eye
- H26.492Other secondary cataract, left eye
- H26.493Other secondary cataract, bilateral
- H26.499Other secondary cataract, unspecified eye
- H26.8Other specified cataract
- H26.9Unspecified cataract
H26 MS-DRGs
As the principal diagnosis, all 69 billable codes under H26 group to MS-DRG 124 or 125 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Cataract
A cataract is a clouding of the clear lens inside your eye. This cloudiness blocks light from reaching the back of the eye, making it harder to see clearly. A cataract can affect one or both eyes, but it doesn't spread from one eye to the other.
Read more about cataract on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
