H26.04
H26.04 — Anterior subcapsular polar infantile and juvenile cataract
Non-billable headerICD-10-CM
H26.04 is a non-billable header ICD-10-CM code for anterior subcapsular polar infantile and juvenile cataract. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
H26.04 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead H26.04
4 child codes. Green means billable.
- 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
Related codes at this level
Codes that share H26.0. If H26.04 is not quite right, the correct code is usually one of these.
- H26.00Unspecified infantile and juvenile cataract
- H26.01Infantile and juvenile cortical, lamellar, or zonular cataract
- H26.03Infantile and juvenile nuclear cataract
- H26.05Posterior subcapsular polar infantile and juvenile cataract
- H26.06Combined forms of infantile and juvenile cataract
- H26.09Other infantile and juvenile cataract
Questions about H26.04
- Is H26.04 a billable ICD-10-CM code?
- No. H26.04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does H26.04 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of lens (H25-H28).