H26.493
H26.493 — Other secondary cataract, bilateral
Billable / specific codeICD-10-CMbilateral
H26.493 is a billable, specific ICD-10-CM code for other secondary cataract, bilateral. It is valid for submission on a claim.
Risk adjustment
H26.493 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
H26.493 is named in 10 Medicare coverage policies — 10 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
- A56493Billing and Coding: Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy
- A56544Billing and Coding: Cataract Extraction
- A56613Billing and Coding: Cataract Surgery
Related codes at this level
Codes that share H26.49. If H26.493 is not quite right, the correct code is usually one of these.
Questions about H26.493
- Is H26.493 a billable ICD-10-CM code?
- Yes. H26.493 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H26.493 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of lens (H25-H28).