H26Non-billable

Other cataract

Diseases of the Eye and Adnexa·Disorders of lens (H25-H28)·category·FY 2026

CH7 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • congenital cataract (Q12.0)

Clinical Hierarchy

BillableHas subcodes
CH7Diseases of the eye and adnexa (H00-H59)
H25-H28Disorders of lens (H25-H28)
H26Other cataractNot billable
H26.0Infantile and juvenile cataractSubcodes
H26.1Traumatic cataractSubcodes
H26.2Complicated cataractSubcodes
H26.3Drug-induced cataractSubcodes
H26.4Secondary cataractSubcodes
H26.8Other specified cataractBillable
H26.9Unspecified cataractBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.