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H26.012

Billable

Infantile and juvenile cortical, lamellar, or zonular cataract, left eye

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

What This Code Means

A specific type of lens clouding in the left eye of an infant or child that affects the outer layers (cortical), forms rings (lamellar), or involves the lens zones (zonular).

Coding Tips

  • This code specifies the morphology of the cataract; ensure documentation clearly indicates cortical, lamellar, or zonular type
  • Verify left eye laterality is documented to prevent incorrect coding

Code Hierarchy

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