Is H26.3 a billable ICD-10-CM code?

No. H26.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H26.3 sit in the tabular list?

Diseases of the eye and adnexa (H00-H59), in the block Disorders of lens (H25-H28).

H26.3

H26.3 — Drug-induced cataract

Non-billable headerICD-10-CM

H26.3 is a non-billable header ICD-10-CM code for drug-induced cataract. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Toxic cataract

Risk adjustment

H26.3 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 H26.3

4 child codes. Green means billable.

Related codes at this level

Codes that share H26. If H26.3 is not quite right, the correct code is usually one of these.

Questions about H26.3

Is H26.3 a billable ICD-10-CM code?: No. H26.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H26.3 sit in the tabular list?: Diseases of the eye and adnexa (H00-H59), in the block Disorders of lens (H25-H28).