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Home/Diagnosis/ICD-10 Coding for Secondary Cataract

ICD-10 Coding for Secondary Cataract

H26.491
H26.492
H26.493

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

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

Essential facts and insights about ICD-10 Coding for Secondary Cataract

Use ICD-10 code H26.491 for secondary cataract, right eye, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Secondary cataract, right eye

Billable Code
H26.491
Billable

Diagnostic Criteria

clinical:
  • • Presence of posterior capsule opacification in the right eye
documentation:
  • • Documented impact on activities of daily living

Applicable To

  • • Secondary cataract in the right eye post-surgery

Important Notes

  • • Ensure laterality is documented and ADL impact is noted.

Secondary cataract, left eye

Billable Code
H26.492
Billable

Applicable To

  • • Secondary cataract in the left eye post-surgery

Important Notes

  • • Ensure laterality is documented and ADL impact is noted.

Secondary cataract, bilateral

Billable Code
H26.493
Billable

Applicable To

  • • Secondary cataract in both eyes post-surgery

Important Notes

  • • Ensure laterality is documented and ADL impact is noted.
Ancillary Codes

Additional codes that may be used with this diagnosis

E11.36

Type 2 diabetes mellitus with cataract

Use when diabetes is the underlying cause of the cataract.

Frequently Asked Questions

What is the ICD-10 code for secondary cataract?

The ICD-10 codes for secondary cataract are H26.491 for the right eye, H26.492 for the left eye, and H26.493 for bilateral cases.

How do you document secondary cataract for coding?

Document the laterality, ADL impairment, and slit-lamp findings to support the use of secondary cataract codes.

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