ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H26.009

Billable / Specific

Unspecified infantile and juvenile cataract, unspecified eye

H26
Block
0
Synonyms
3
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM H26.009

ICD-10-CM code H26.009 represents Unspecified infantile and juvenile cataract, unspecified eye. This is a billable/specific code in the Eye and Adnexa chapter (block H26). The 2026 edition of ICD-10-CM H26.009 became effective on October 1, 2025.

Medicare LCD Coverage for H26.009

Local Coverage Determinations (LCDs) from CMS MACs that list H26.009 as a covered diagnosis.

3 LCDs

Showing top 3. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Field Examination
Article ID: 57637, Effective: 2025-10-01 00:00:00, 2832 covered, 1 non-covered
CPT 92081 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H26.009.

1 policies

1 Medicare

Billing and Coding: Visual Field Examination
Policy ID: ART-57637

CPT Codes Commonly Billed with H26.009

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H26.009

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.

Convert H26.009 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H26.009 36600 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 H26.009, Billing FAQ

Is ICD-10 code H26.009 billable? +

Yes, H26.009 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H26.009 map to? +

Per CMS GEMs, H26.009 maps to ICD-9 codes: 36600. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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