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H26.223

Billable

Cataract secondary to ocular disorders (degenerative) (inflammatory), bilateral

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

What This Code Means

Clouding of the lens in both eyes that develops as a secondary effect from other eye diseases that cause degeneration or inflammation.

Coding Tips

  • Use this code only when cataracts are documented in both eyes; do not use if only one eye is affected
  • Document whether the underlying degenerative or inflammatory condition is unilateral or bilateral

Code Hierarchy

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