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H26.003

Billable

Unspecified infantile and juvenile cataract, bilateral

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

What This Code Means

A clouding of the lens affecting both eyes in infants or children, with the specific type not specified.

Coding Tips

  • •Bilateral coding requires documentation confirming involvement of both eyes; do not assume bilateral without explicit documentation
  • •This code is appropriate when the cataract type is unspecified but both eyes are affected

Code Hierarchy

└H26Other cataract└H26.0Infantile and juvenile cataract└H26.00Unspecified infantile and juvenile cataract└H26.003Unspecified infantile and juvenile cataract, bilateral
└H26.003Unspecified infantile and juvenile cataract, bilateral

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