ICD-10-CM Codes
H00-H59 Diseases of the eye and adnexa
H25-H28 Disorders of lens
H26- Other cataract

2018/2019 ICD-10-CM Diagnosis Code H26.012

Infantile and juvenile cortical, lamellar, or zonular cataract, left eye

2016

2017

2018

2019

Billable/Specific Code

Pediatric Dx (0-17 years)

H26.012 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Short description: Infantile and juv cortical/lamellar/zonular cataract, l eye
The 2018/2019 edition of ICD-10-CM H26.012 became effective on October 1, 2018.
This is the American ICD-10-CM version of H26.012 - other international versions of ICD-10 H26.012 may differ.

ICD-10-CM Coding Rules

H26.012 is applicable to pediatric patients aged 0 - 17 years inclusive.

The following code(s) above H26.012 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to H26.012:

H00-H59
2019 ICD-10-CM Range H00-H59
Diseases of the eye and adnexa
Note
- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Type 2 Excludes
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Diseases of the eye and adnexa
H26
ICD-10-CM Diagnosis Code H26
Other cataract
Type 1 Excludes
- congenital cataract (Q12.0)
Other cataract

ICD-10-CM H26.012 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

124 Other disorders of the eye with mcc
125 Other disorders of the eye without mcc

Convert H26.012 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change

ICD-10-CM Codes Adjacent To H26.012

H25.9 Unspecified age-related cataract

H26 Other cataract

H26.0 Infantile and juvenile cataract

H26.00 Unspecified infantile and juvenile cataract

H26.001 …… right eye

H26.002 …… left eye

H26.003 …… bilateral

H26.009 …… unspecified eye

H26.01 Infantile and juvenile cortical, lamellar, or zonular cataract

H26.011 …… right eye

H26.012 …… left eye

H26.013 …… bilateral

H26.019 …… unspecified eye

H26.03 Infantile and juvenile nuclear cataract

H26.031 …… right eye

H26.032 …… left eye

H26.033 …… bilateral

H26.039 …… unspecified eye

H26.04 Anterior subcapsular polar infantile and juvenile cataract

H26.041 …… right eye

H26.042 …… left eye

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2018/2019 ICD-10-CM Diagnosis Code H26.012

Infantile and juvenile cortical, lamellar, or zonular cataract, left eye

Diseases of the eye and adnexa

Other cataract