H16.26
Non-Billable

Vernal keratoconjunctivitis, with limbar and corneal involvement

Non-Billable / Non-Specific Code

What is Vernal keratoconjunctivitis, with limbar and corneal involvement?

ICD-10-CM H16.26 is the diagnosis code for Vernal keratoconjunctivitis, with limbar and corneal involvement. This code falls under the section "Disorders of sclera, cornea, iris and ciliary body" 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.

⛔ Excludes1

Coding Guidelines for H16.26

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as H16.26. They are mutually exclusive:

  • vernal conjunctivitis without limbar and corneal involvement (H10.44)

ICD-10-CM Code Hierarchy

Understanding where H16.26 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeH16.26 — Vernal keratoconjunctivitis, with limbar and corneal involvement
Sub-Codes 4 entries
H16.261Vernal keratoconjunctivitis, with limbar and corneal involvement, right eyeBillableH16.262Vernal keratoconjunctivitis, with limbar and corneal involvement, left eyeBillableH16.263Vernal keratoconjunctivitis, with limbar and corneal involvement, bilateralBillableH16.269Vernal keratoconjunctivitis, with limbar and corneal involvement, unspecified eyeBillable
Related Codes

Frequently Asked Questions

Is H16.26 a billable ICD-10-CM code?

No, H16.26 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does H16.26 mean?

H16.26 is the ICD-10-CM diagnosis code for "Vernal keratoconjunctivitis, with limbar and corneal involvement". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of H16.26?

The parent code of H16.26 is H16.2 ("Keratoconjunctivitis"). H16.26 provides a more specific classification within this category.

What section is H16.26 in?

H16.26 is located in Section H15-H22 — "Disorders of sclera, cornea, iris and ciliary body" within Chapter 7 of the ICD-10-CM Tabular List.

What are the sub-codes of H16.26?

H16.26 has 4 sub-code(s) that provide more specific detail: H16.261, H16.262, H16.263, H16.269.

When should I use H16.26?

Use H16.26 when the patients documented diagnosis matches "Vernal keratoconjunctivitis, with limbar and corneal involvement" 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 Vernal keratoconjunctivitis, with limbar and corneal involvement?

The ICD-10-CM code for Vernal keratoconjunctivitis, with limbar and corneal involvement is H16.26.

Can H16.26 be used for primary diagnosis?

No, H16.26 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is H16.26 in?

H16.26 is in Chapter 7 of the ICD-10-CM Tabular List.

What conditions are excluded from H16.26?

Type 1 Excludes for H16.26 include: vernal conjunctivitis without limbar and corneal involvement (H10.44).

Is H16.26 valid for 2026?

Yes, H16.26 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousH16.259Phlyctenular keratoconjunctivitis, unspecified eyeNext →H16.261Vernal keratoconjunctivitis, with limbar and corneal involvement, right eye
Code Details
H16.26
Vernal keratoconjunctivitis, with limbar and corneal involvement
Non-Billable / Non-Specific Code
7 — Diseases of the eye and adnexa (H00-H59)
H15-H22 — Disorders of sclera, cornea, iris and ciliary body
2026 ICD-10-CM