H26
H26: Other cataract
Non-billable headerICD-10-CM
H26 is a non-billable header ICD-10-CM code for other cataract. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- congenital cataract (Q12.0)
Other codes that can never be billed with H26
Their own Excludes1 notes name this code, so the conflict is not listed above.
- H59Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead H26
7 child codes. Green means billable.