H26.1 — Traumatic cataract
Is H26.1 billable?
No — H26.1 is a non-billable header code. H26.1 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 16 billable codes beneath H26.1.
Billable codes under this header
- H26.101Unspecified traumatic cataract, right eye
- H26.102Unspecified traumatic cataract, left eye
- H26.103Unspecified traumatic cataract, bilateral
- H26.109Unspecified traumatic cataract, unspecified eye
- H26.111Localized traumatic opacities, right eye
- H26.112Localized traumatic opacities, left eye
- H26.113Localized traumatic opacities, bilateral
- H26.119Localized traumatic opacities, unspecified eye
- H26.121Partially resolved traumatic cataract, right eye
- H26.122Partially resolved traumatic cataract, left eye
- H26.123Partially resolved traumatic cataract, bilateral
- H26.129Partially resolved traumatic cataract, unspecified eye
- H26.131Total traumatic cataract, right eye
- H26.132Total traumatic cataract, left eye
- H26.133Total traumatic cataract, bilateral
- H26.139Total traumatic cataract, unspecified eye
H26.1 at a glance
| Code | H26.1 |
|---|---|
| Description | Traumatic cataract |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Use additional code
Report an additional code alongside H26.1 to fully describe the condition. H26.1 is sequenced first.
- code (Chapter 20) to identify external cause
Excludes1 — never code together — inherited from H26
The conditions below can never be reported together with H26.1 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 H26.1, but a patient may have both at the same time. When documentation supports it, H26.1 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 H26.1? (4)
How long has H26.1 existed?
H26.1 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.