H26.09 — Other infantile and juvenile cataract

Billable

Is H26.09 billable?

Yes — H26.09 is billable for FY2027. H26.09 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H26.09 may be submitted for encounters from October 1, 2026 through September 30, 2027.

H26.09 at a glance

Code	H26.09
Description	Other infantile and juvenile cataract
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does H26.09 group to?

H26.09 sits in MDC 02 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

124Other Disorders of the Eye with MCC or Thrombolytic Agentmedical
125Other Disorders of the Eye without MCCmedical

How is H26.09 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to H26.09. They show the wording a clinician may have documented, which often differs from the Tabular description.

Cataract › presenile › specified NEC (cortical) (immature) (incipient)

Excludes1 — never code together — inherited from H26

The conditions below can never be reported together with H26.09 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 H26.09, but a patient may have both at the same time. When documentation supports it, H26.09 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)

How long has H26.09 existed?

H26.09 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 H26.09?

ICD-10 code for Cataract