H26.1
Non-Billable

Traumatic cataract

Non-Billable / Non-Specific Code

What is Traumatic cataract?

ICD-10-CM H26.1 is the diagnosis code for Traumatic cataract. This code falls under the section "Disorders of lens" within Chapter 7 — Diseases of the eye and adnexa (H00-H59). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for H26.1

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where H26.1 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeH26.1 — Traumatic cataract
Sub-Codes 4 entries
H26.10Unspecified traumatic cataractNon-BillableH26.101Unspecified traumatic cataract, right eyeBillableH26.102Unspecified traumatic cataract, left eyeBillableH26.103Unspecified traumatic cataract, bilateralBillableH26.109Unspecified traumatic cataract, unspecified eyeBillableH26.11Localized traumatic opacitiesNon-BillableH26.111Localized traumatic opacities, right eyeBillableH26.112Localized traumatic opacities, left eyeBillableH26.113Localized traumatic opacities, bilateralBillableH26.119Localized traumatic opacities, unspecified eyeBillableH26.12Partially resolved traumatic cataractNon-BillableH26.121Partially resolved traumatic cataract, right eyeBillableH26.122Partially resolved traumatic cataract, left eyeBillableH26.123Partially resolved traumatic cataract, bilateralBillableH26.129Partially resolved traumatic cataract, unspecified eyeBillableH26.13Total traumatic cataractNon-BillableH26.131Total traumatic cataract, right eyeBillableH26.132Total traumatic cataract, left eyeBillableH26.133Total traumatic cataract, bilateralBillableH26.139Total traumatic cataract, unspecified eyeBillable
Related Codes

Frequently Asked Questions

Is H26.1 a billable ICD-10-CM code?

No, H26.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does H26.1 mean?

H26.1 is the ICD-10-CM diagnosis code for "Traumatic cataract". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of H26.1?

The parent code of H26.1 is H26 ("Other cataract"). H26.1 provides a more specific classification within this category.

What section is H26.1 in?

H26.1 is located in Section H25-H28 — "Disorders of lens" within Chapter 7 of the ICD-10-CM Tabular List.

What are the sub-codes of H26.1?

H26.1 has 4 sub-code(s) that provide more specific detail: H26.10, H26.11, H26.12, H26.13.

When should I use H26.1?

Use H26.1 when the patients documented diagnosis matches "Traumatic cataract" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Traumatic cataract?

The ICD-10-CM code for Traumatic cataract is H26.1.

Can H26.1 be used for primary diagnosis?

No, H26.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is H26.1 in?

H26.1 is in Chapter 7 of the ICD-10-CM Tabular List.

Is H26.1 valid for 2026?

Yes, H26.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousH26.09Other infantile and juvenile cataractNext →H26.10Unspecified traumatic cataract
Code Details
H26.1
Traumatic cataract
Non-Billable / Non-Specific Code
7 — Diseases of the eye and adnexa (H00-H59)
H25-H28 — Disorders of lens
2026 ICD-10-CM