ICD-10 H26
Non-Billable HeaderOther cataract
About ICD-10-CM H26
ICD-10-CM code H26 represents Other cataract. This is a non-billable header code in the Eye and Adnexa chapter (block H26). The 2026 edition of ICD-10-CM H26 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with H26. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- congenital cataract (Q12.0)
Medicare LCD Coverage for H26
Local Coverage Determinations (LCDs) from CMS MACs that list H26 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H26.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but H26 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with H26
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To H26
Other codes in section H25-H28 (Disorders of lens).
ICD-10 H26, Billing FAQ
Is ICD-10 code H26 billable? +
No, H26 is a non-billable header code. Use a more specific child code from block H26 when submitting claims.
What codes are Type 1 Excludes for H26? +
Type 1 Excludes (never code together with H26): congenital cataract (Q12.0)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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