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H26.042

Billable

Anterior subcapsular polar infantile and juvenile cataract, left 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 that develops in childhood, located in the front layer just under the lens capsule on the left eye only.

Coding Tips

  • Verify laterality is documented as left eye only; if bilateral, use H26.043 instead
  • This code is specific to anterior subcapsular polar cataracts in pediatric patients; confirm age appropriateness in documentation

Code Hierarchy

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