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H26.001

Billable

Unspecified infantile and juvenile cataract, right eye

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A cataract present at birth or developing in infancy or early childhood in the right eye, where the specific type is not specified.

Coding Tips

  • Infantile and juvenile cataracts differ from age-related cataracts; ensure correct age category is documented
  • This code is specific to the right eye; use H26.002 for left eye or H26.003 for bilateral

Code Hierarchy

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