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H26.111

Billable

Localized traumatic opacities, right eye

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

What This Code Means

This code describes cloudiness or haziness in the lens of the right eye that developed as a result of a specific eye injury or trauma. The opacity is limited to a particular area of the lens rather than affecting the entire lens.

Coding Tips

  • •Verify documentation specifies the opacity is traumatic in origin and localized to one area; if the entire lens is affected, use a different code
  • •Confirm laterality is documented as right eye; if bilateral or left eye, use the appropriate laterality code (H26.112 for left, H26.113 for bilateral)

Code Hierarchy

└H26Other cataract└H26.1Traumatic cataract└H26.11Localized traumatic opacities└H26.111Localized traumatic opacities, right eye
└H26.111Localized traumatic opacities, right eye

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