H26.04 — Anterior subcapsular polar infantile and juvenile cataract
Is H26.04 billable?
No — H26.04 is a non-billable header code. H26.04 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 4 billable codes beneath H26.04.
Billable codes under this header
- 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
H26.04 at a glance
| Code | H26.04 |
|---|---|
| Description | Anterior subcapsular polar infantile and juvenile cataract |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is H26.04 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to H26.04. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Cataract › presenile › subcapsular polar (cortical) (immature) (incipient)
Excludes1 — never code together — inherited from H26
The conditions below can never be reported together with H26.04 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 H26.04, but a patient may have both at the same time. When documentation supports it, H26.04 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 H26.04? (4)
- 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
How long has H26.04 existed?
H26.04 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.
Which conditions are coded to H26.04?
What other codes are in the H26.0 family? (6)
- H26.00Unspecified infantile and juvenile cataractnot billable
- H26.01Infantile and juvenile cortical, lamellar, or zonular cataractnot billable
- H26.03Infantile and juvenile nuclear cataractnot billable
- H26.05Posterior subcapsular polar infantile and juvenile cataractnot billable
- H26.06Combined forms of infantile and juvenile cataractnot billable
- H26.09Other infantile and juvenile cataract