H26.0 — Infantile and juvenile cataract
Not billable
Is H26.0 billable?
No — H26.0 is a non-billable header code. H26.0 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 25 billable codes beneath H26.0.
Billable codes under this header
- H26.09Other infantile and juvenile cataract
- H26.001Unspecified infantile and juvenile cataract, right eye
- H26.002Unspecified infantile and juvenile cataract, left eye
- H26.003Unspecified infantile and juvenile cataract, bilateral
- H26.009Unspecified infantile and juvenile cataract, unspecified eye
- H26.011Infantile and juvenile cortical, lamellar, or zonular cataract, right eye
- H26.012Infantile and juvenile cortical, lamellar, or zonular cataract, left eye
- H26.013Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral
- H26.019Infantile and juvenile cortical, lamellar, or zonular cataract, unspecified eye
- H26.031Infantile and juvenile nuclear cataract, right eye
- H26.032Infantile and juvenile nuclear cataract, left eye
- H26.033Infantile and juvenile nuclear cataract, bilateral
- H26.039Infantile and juvenile nuclear cataract, unspecified eye
- H26.041Anterior subcapsular polar infantile and juvenile cataract, right eye
- H26.042Anterior subcapsular polar infantile and juvenile cataract, left eye
- H26.043Anterior subcapsular polar infantile and juvenile cataract, bilateral
- H26.049Anterior subcapsular polar infantile and juvenile cataract, unspecified eye
- H26.051Posterior subcapsular polar infantile and juvenile cataract, right eye
- H26.052Posterior subcapsular polar infantile and juvenile cataract, left eye
- H26.053Posterior subcapsular polar infantile and juvenile cataract, bilateral
- H26.059Posterior subcapsular polar infantile and juvenile cataract, unspecified eye
- H26.061Combined forms of infantile and juvenile cataract, right eye
- H26.062Combined forms of infantile and juvenile cataract, left eye
- H26.063Combined forms of infantile and juvenile cataract, bilateral
- H26.069Combined forms of infantile and juvenile cataract, unspecified eye
H26.0 at a glance
| Code | H26.0 |
|---|---|
| Description | Infantile and juvenile cataract |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from H26
The conditions below can never be reported together with H26.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- congenital cataract (Q12.0)
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H26.0, but a patient may have both at the same time. When documentation supports it, H26.0 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
What codes fall under H26.0? (7)
- H26.00Unspecified infantile and juvenile cataractnot billable
- H26.01Infantile and juvenile cortical, lamellar, or zonular cataractnot billable
- H26.03Infantile and juvenile nuclear cataractnot billable
- H26.04Anterior subcapsular polar infantile and juvenile cataractnot billable
- H26.05Posterior subcapsular polar infantile and juvenile cataractnot billable
- H26.06Combined forms of infantile and juvenile cataractnot billable
- H26.09Other infantile and juvenile cataract
How long has H26.0 existed?
H26.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.