H26.123
H26.123 — Partially resolved traumatic cataract, bilateral
Billable / specific codeICD-10-CMbilateral
H26.123 is a billable, specific ICD-10-CM code for partially resolved traumatic cataract, bilateral. It is valid for submission on a claim.
Risk adjustment
H26.123 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.
Medicare coverage
H26.123 is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56453Billing and Coding: Cataract Extraction
- A56453Billing and Coding: Cataract Extraction
- A56549Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
- A56613Billing and Coding: Cataract Surgery
Related codes at this level
Codes that share H26.12. If H26.123 is not quite right, the correct code is usually one of these.
Questions about H26.123
- Is H26.123 a billable ICD-10-CM code?
- Yes. H26.123 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H26.123 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of lens (H25-H28).