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H26.131

Billable

Total traumatic cataract, right eye

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

What This Code Means

A complete clouding of the lens in the right eye caused by an eye injury, resulting in significant vision loss.

Coding Tips

  • •Confirm documentation specifies 'total' or 'complete' cataract and identifies the right eye
  • •Distinguish from partial cataracts; total cataracts typically cause more severe vision impairment

Code Hierarchy

└H26Other cataract└H26.1Traumatic cataract└H26.13Total traumatic cataract└H26.131Total traumatic cataract, right eye
└H26.131Total traumatic cataract, right eye

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