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Home/Diagnosis/ICD-10 Coding for Posterior Capsule Opacity

ICD-10 Coding for Posterior Capsule Opacity

H26.41

Complete ICD-10-CM coding and documentation guide for icd-10 coding for posterior capsule opacity includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
PCO
Secondary Cataract
After-cataract
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Key Information: ICD-10 Coding for Posterior Capsule Opacity

Essential facts and insights about ICD-10 Coding for Posterior Capsule Opacity

Use ICD-10 code H26.41 for after-cataract, right eye, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

After-cataract, right eye

Non-Billable
H26.41
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of opacified posterior lens capsule confirmed by slit-lamp exam.
documentation:
  • • BCVA measurement and functional impact statement required.

Applicable To

  • • Opacified posterior lens capsule

Important Notes

  • • Ensure documentation specifies posterior capsule involvement and laterality.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z96.1

Presence of intraocular lens

Use to indicate the presence of an intraocular lens in pseudophakic eyes.

Frequently Asked Questions

What is the ICD-10 code for posterior capsule opacity?

The ICD-10 code for posterior capsule opacity is H26.4-, with specific codes for laterality such as H26.41 for the right eye.

When should Z96.1 be used with PCO coding?

Z96.1 should be used to indicate the presence of an intraocular lens in cases of posterior capsule opacity.

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