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H26.043

Billable

Anterior subcapsular polar infantile and juvenile cataract, bilateral

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 affecting both eyes.

Coding Tips

  • Use this code only when cataract is documented as bilateral; if only one eye is affected, use the appropriate unilateral code
  • Document whether cataracts are symmetric or asymmetric in severity for clinical clarity

Code Hierarchy

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