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H26.013

Billable

Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral

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

What This Code Means

A cortical, lamellar, or zonular lens clouding affecting both eyes in infants or children.

Coding Tips

  • •Confirm bilateral involvement is explicitly documented before assigning this code
  • •The specific morphology (cortical, lamellar, or zonular) should be documented in the clinical record

Code Hierarchy

└H26Other cataract└H26.0Infantile and juvenile cataract└H26.01Infantile and juvenile cortical, lamellar, or zonular cataract└H26.013Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral
└H26.013Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral

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