H26.003
H26.003: Unspecified infantile and juvenile cataract, bilateral
Billable / specific codeICD-10-CMbilateral
H26.003 is a billable, specific ICD-10-CM code for unspecified infantile and juvenile cataract, bilateral. It is valid for submission on a claim.
Check H26.003 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H26.003 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56453Billing and Coding: Cataract Extraction
- A56544Billing and Coding: Cataract Extraction
- A56549Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
- A56613Billing and Coding: Cataract Surgery
Code history
Unchanged in every release from FY2024 to FY2027.