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H26.009

Billable

Unspecified infantile and juvenile cataract, unspecified eye

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 in an infant or child where the affected eye is not specified and the cataract type is unknown.

Coding Tips

  • This is a less specific code; always attempt to determine laterality (right, left, or bilateral) from clinical documentation
  • Use only when eye laterality cannot be determined from the medical record

Code Hierarchy

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