2020 ICD-10-CM Diagnosis Code H26.20

Unspecified complicated cataract

    2016 2017 2018 2019 2020 Billable/Specific Code
  • H26.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM H26.20 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of H26.20 - other international versions of ICD-10 H26.20 may differ.
Applicable To
  • Cataracta complicata NOS
The following code(s) above H26.20 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 H26.20:
  • H00-H59
    2020 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 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital cataract (Q12.0)
    Other cataract
Approximate Synonyms
  • Complicated cataract of left eye
  • Complicated cataract of right eye
  • Left complicated cataract
  • Right complicated cataract
ICD-10-CM H26.20 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 124 Other disorders of the eye with mcc
  • 125 Other disorders of the eye without mcc

Convert H26.20 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
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to H26.20:
  • Cataract (cortical) (immature) (incipient) H26.9
    ICD-10-CM Diagnosis Code H26.9

    Unspecified cataract

      2016 2017 2018 2019 2020 Billable/Specific Code

ICD-10-CM Codes Adjacent To H26.20
H26.121 …… right eye
H26.122 …… left eye
H26.123 …… bilateral
H26.129 …… unspecified eye
H26.13 Total traumatic cataract
H26.131 …… right eye
H26.132 …… left eye
H26.133 …… bilateral
H26.139 …… unspecified eye
H26.2 Complicated cataract
H26.20 Unspecified complicated cataract
H26.21 Cataract with neovascularization
H26.211 …… right eye
H26.212 …… left eye
H26.213 …… bilateral
H26.219 …… unspecified eye
H26.22 Cataract secondary to ocular disorders (degenerative) (inflammatory)
H26.221 …… right eye
H26.222 …… left eye
H26.223 …… bilateral
H26.229 …… unspecified eye

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