H26.111 — Localized traumatic opacities, right eye
Is H26.111 billable?
Yes — H26.111 is billable for FY2027. H26.111 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H26.111 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H26.111 at a glance
| Code | H26.111 |
|---|---|
| Description | Localized traumatic opacities, right eye |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H26.111 group to?
H26.111 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 H26.111 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H26.11, the nearest indexed parent of H26.111. Use them to find the family, then select the specific code.
- Cataract › traumatic › localized (cortical) (immature) (incipient)
Excludes1 — never code together — inherited from H26
The conditions below can never be reported together with H26.111 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)
Use additional code — inherited from H26.1
Report an additional code alongside H26.111 to fully describe the condition. H26.111 is sequenced first.
- code (Chapter 20) to identify external cause
Excludes2 — not included here — inherited from Chapter 7
The conditions below are not part of H26.111, but a patient may have both at the same time. When documentation supports it, H26.111 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 H26.111 existed?
H26.111 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.