H26
Non-Billable

Other cataract

Non-Billable / Non-Specific Code

What is Other cataract?

ICD-10-CM H26 is the diagnosis code for Other 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.

⛔ Excludes1

Coding Guidelines for H26

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as H26. They are mutually exclusive:

  • congenital cataract (Q12.0)

ICD-10-CM Code Hierarchy

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

Sub-Codes 7 entries
H26.0Infantile and juvenile cataractNon-BillableH26.00Unspecified infantile and juvenile cataractNon-BillableH26.001Unspecified infantile and juvenile cataract, right eyeBillableH26.002Unspecified infantile and juvenile cataract, left eyeBillableH26.003Unspecified infantile and juvenile cataract, bilateralBillableH26.009Unspecified infantile and juvenile cataract, unspecified eyeBillableH26.01Infantile and juvenile cortical, lamellar, or zonular cataractNon-BillableH26.011Infantile and juvenile cortical, lamellar, or zonular cataract, right eyeBillableH26.012Infantile and juvenile cortical, lamellar, or zonular cataract, left eyeBillableH26.013Infantile and juvenile cortical, lamellar, or zonular cataract, bilateralBillableH26.019Infantile and juvenile cortical, lamellar, or zonular cataract, unspecified eyeBillableH26.03Infantile and juvenile nuclear cataractNon-BillableH26.031Infantile and juvenile nuclear cataract, right eyeBillableH26.032Infantile and juvenile nuclear cataract, left eyeBillableH26.033Infantile and juvenile nuclear cataract, bilateralBillableH26.039Infantile and juvenile nuclear cataract, unspecified eyeBillableH26.04Anterior subcapsular polar infantile and juvenile cataractNon-BillableH26.041Anterior subcapsular polar infantile and juvenile cataract, right eyeBillableH26.042Anterior subcapsular polar infantile and juvenile cataract, left eyeBillableH26.043Anterior subcapsular polar infantile and juvenile cataract, bilateralBillableH26.049Anterior subcapsular polar infantile and juvenile cataract, unspecified eyeBillableH26.05Posterior subcapsular polar infantile and juvenile cataractNon-BillableH26.051Posterior subcapsular polar infantile and juvenile cataract, right eyeBillableH26.052Posterior subcapsular polar infantile and juvenile cataract, left eyeBillableH26.053Posterior subcapsular polar infantile and juvenile cataract, bilateralBillableH26.059Posterior subcapsular polar infantile and juvenile cataract, unspecified eyeBillableH26.06Combined forms of infantile and juvenile cataractNon-BillableH26.061Combined forms of infantile and juvenile cataract, right eyeBillableH26.062Combined forms of infantile and juvenile cataract, left eyeBillableH26.063Combined forms of infantile and juvenile cataract, bilateralBillableH26.069Combined forms of infantile and juvenile cataract, unspecified eyeBillableH26.09Other infantile and juvenile cataractBillableH26.1Traumatic cataractNon-BillableH26.10Unspecified 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 eyeBillableH26.2Complicated cataractNon-BillableH26.20Unspecified 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 eyeBillableH26.3Drug-induced cataractNon-BillableH26.30Drug-induced cataract, unspecified eyeBillableH26.31Drug-induced cataract, right eyeBillableH26.32Drug-induced cataract, left eyeBillableH26.33Drug-induced cataract, bilateralBillableH26.4Secondary cataractNon-BillableH26.40Unspecified secondary cataractBillableH26.41Soemmering's ringNon-BillableH26.411Soemmering's ring, right eyeBillableH26.412Soemmering's ring, left eyeBillableH26.413Soemmering's ring, bilateralBillableH26.419Soemmering's ring, unspecified eyeBillableH26.49Other secondary cataractNon-BillableH26.491Other secondary cataract, right eyeBillableH26.492Other secondary cataract, left eyeBillableH26.493Other secondary cataract, bilateralBillableH26.499Other secondary cataract, unspecified eyeBillableH26.8Other specified cataractBillableH26.9Unspecified cataractBillable
Related Codes

Frequently Asked Questions

Is H26 a billable ICD-10-CM code?

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

What does H26 mean?

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

What section is H26 in?

H26 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?

H26 has 7 sub-code(s) that provide more specific detail: H26.0, H26.1, H26.2, H26.3, H26.4 and more.

When should I use H26?

Use H26 when the patients documented diagnosis matches "Other 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 Other cataract?

The ICD-10-CM code for Other cataract is H26.

Can H26 be used for primary diagnosis?

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

What chapter is H26 in?

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

What conditions are excluded from H26?

Type 1 Excludes for H26 include: congenital cataract (Q12.0).

Is H26 valid for 2026?

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

See Also

← PreviousH25.9Unspecified age-related cataractNext →H26.0Infantile and juvenile cataract
Code Details
H26
Other cataract
Non-Billable / Non-Specific Code
7 — Diseases of the eye and adnexa (H00-H59)
H25-H28 — Disorders of lens
2026 ICD-10-CM