2019 ICD-10-CM Diagnosis Code H26.1

Traumatic cataract

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • H26.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM H26.1 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of H26.1 - other international versions of ICD-10 H26.1 may differ.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code (Chapter 20) to identify external cause
The following code(s) above H26.1 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 H26.1:
  • 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

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital cataract (Q12.0)
    Other cataract
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 H26.1
H26.051 …… right eye
H26.052 …… left eye
H26.053 …… bilateral
H26.059 …… unspecified eye
H26.06 Combined forms of infantile and juvenile cataract
H26.061 …… right eye
H26.062 …… left eye
H26.063 …… bilateral
H26.069 …… unspecified eye
H26.09 Other infantile and juvenile cataract
H26.1 Traumatic cataract
H26.10 Unspecified traumatic cataract
H26.101 …… right eye
H26.102 …… left eye
H26.103 …… bilateral
H26.109 …… unspecified eye
H26.11 Localized traumatic opacities
H26.111 …… right eye
H26.112 …… left eye
H26.113 …… bilateral
H26.119 …… unspecified eye

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