H26.2
Non-Billable

Complicated cataract

Non-Billable / Non-Specific Code

What is Complicated cataract?

ICD-10-CM H26.2 is the diagnosis code for Complicated 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 H26.2

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 H26.2 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeH26.2 — Complicated cataract
Sub-Codes 4 entries
H26.20Unspecified complicated cataractBillableH26.21Cataract with neovascularizationNon-BillableH26.211Cataract with neovascularization, right eyeBillableH26.212Cataract with neovascularization, left eyeBillableH26.213Cataract with neovascularization, bilateralBillableH26.219Cataract with neovascularization, unspecified eyeBillableH26.22Cataract secondary to ocular disorders (degenerative) (inflammatory)Non-BillableH26.221Cataract secondary to ocular disorders (degenerative) (inflammatory), right eyeBillableH26.222Cataract secondary to ocular disorders (degenerative) (inflammatory), left eyeBillableH26.223Cataract secondary to ocular disorders (degenerative) (inflammatory), bilateralBillableH26.229Cataract secondary to ocular disorders (degenerative) (inflammatory), unspecified eyeBillableH26.23Glaucomatous flecks (subcapsular)Non-BillableH26.231Glaucomatous flecks (subcapsular), right eyeBillableH26.232Glaucomatous flecks (subcapsular), left eyeBillableH26.233Glaucomatous flecks (subcapsular), bilateralBillableH26.239Glaucomatous flecks (subcapsular), unspecified eyeBillable
Related Codes

Frequently Asked Questions

Is H26.2 a billable ICD-10-CM code?

No, H26.2 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does H26.2 mean?

H26.2 is the ICD-10-CM diagnosis code for "Complicated 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 H26.2?

The parent code of H26.2 is H26 ("Other cataract"). H26.2 provides a more specific classification within this category.

What section is H26.2 in?

H26.2 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 H26.2?

H26.2 has 4 sub-code(s) that provide more specific detail: H26.20, H26.21, H26.22, H26.23.

When should I use H26.2?

Use H26.2 when the patients documented diagnosis matches "Complicated 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 Complicated cataract?

The ICD-10-CM code for Complicated cataract is H26.2.

Can H26.2 be used for primary diagnosis?

No, H26.2 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is H26.2 in?

H26.2 is in Chapter 7 of the ICD-10-CM Tabular List.

Is H26.2 valid for 2026?

Yes, H26.2 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousH26.139Total traumatic cataract, unspecified eyeNext →H26.20Unspecified complicated cataract
Code Details
H26.2
Complicated cataract
Non-Billable / Non-Specific Code
7 — Diseases of the eye and adnexa (H00-H59)
H25-H28 — Disorders of lens
2026 ICD-10-CM