H26.212 — Cataract with neovascularization, left eye
Is H26.212 billable?
Yes — H26.212 is billable for FY2027. H26.212 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H26.212 may be submitted for encounters from October 1, 2026 through September 30, 2027.
H26.212 at a glance
| Code | H26.212 |
|---|---|
| Description | Cataract with neovascularization, left eye |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does H26.212 group to?
H26.212 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 H26.212 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under H26.21, the nearest indexed parent of H26.212. Use them to find the family, then select the specific code.
- Cataract › complicated › with › neovascularization (cortical) (immature) (incipient)
Excludes1 — never code together — inherited from H26
The conditions below can never be reported together with H26.212 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 H26.212, but a patient may have both at the same time. When documentation supports it, H26.212 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)
Code also — inherited from H26.21
Two codes may be needed to describe the condition fully. Whether H26.212 is sequenced first depends on the reason for the encounter.
- , if applicable, associated condition, such as:
- chronic iridocyclitis (H20.1-)
How long has H26.212 existed?
H26.212 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.