H28
H28: Cataract in diseases classified elsewhere
Billable / specific codeICD-10-CM
H28 is a billable, specific ICD-10-CM code for cataract in diseases classified elsewhere. It is valid for submission on a claim.
Check H28 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Code first
The underlying condition must be sequenced before this code.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H28 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56453Billing and Coding: Cataract Extraction
- A56549Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
- A56613Billing and Coding: Cataract Surgery
- A56615Billing and Coding: Cataract Extraction (including Complex Cataract Surgery)
Code history
Unchanged in every release from FY2024 to FY2027.