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H26.031

Billable

Infantile and juvenile nuclear cataract, right 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 the center (nucleus) of the right eye that develops in infants or children, affecting vision by making it blurry or dim. This type of cataract is present from birth or develops early in childhood.

Coding Tips

  • •Verify the laterality is specifically documented as right eye (not left or bilateral) before assigning this code
  • •Confirm the cataract type is nuclear and the patient age is infantile or juvenile; if the cataract is congenital, consider using the congenital cataract codes (Q12.0x) instead

Code Hierarchy

└H26Other cataract└H26.0Infantile and juvenile cataract└H26.03Infantile and juvenile nuclear cataract└H26.031Infantile and juvenile nuclear cataract, right eye
└H26.031Infantile and juvenile nuclear cataract, right eye

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