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

ICD-10 H26.113

Billable / Specific

Localized traumatic opacities, bilateral

H26
Block
0
Synonyms
85
LCDs
10
Payer Policies
2
Linked CPTs

About ICD-10-CM H26.113

ICD-10-CM code H26.113 represents Localized traumatic opacities, bilateral. This is a billable/specific code in the Eye and Adnexa chapter (block H26). The 2026 edition of ICD-10-CM H26.113 became effective on October 1, 2025.

Medicare LCD Coverage for H26.113

Local Coverage Determinations (LCDs) from CMS MACs that list H26.113 as a covered diagnosis.

85 LCDs

Showing top 10 of 85 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Article ID: 56549, Effective: 2019-09-19 00:00:00, 97 covered, 0 non-covered
CPT 92136 →
CMS LCD: Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Article ID: 56549, Effective: 2019-09-19 00:00:00, 97 covered, 0 non-covered
CPT 76519 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66982 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66983 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66852 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66850 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66989 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66840 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66991 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66940 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H26.113.

10 policies

5 Medicare

Billing and Coding: Cataract Extraction
Policy ID: ART-56453
Billing and Coding: Cataract Extraction
Policy ID: ART-56544
Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Policy ID: ART-56549
Billing and Coding: Cataract Surgery
Policy ID: ART-56613
Billing and Coding: Cataract Extraction (including Complex Cataract Surgery)
Policy ID: ART-56615

CPT Codes Commonly Billed with H26.113

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

2 linkages
  • 76519 CMS LCD: Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation CMS LCD
  • 92136 CMS LCD: Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation CMS LCD

Convert H26.113 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H26.113 36621 10000

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

ICD-10 H26.113, Billing FAQ

Is ICD-10 code H26.113 billable? +

Yes, H26.113 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with H26.113? +

Procedures frequently paired with H26.113 include: 76519, 92136.

What ICD-9 codes does H26.113 map to? +

Per CMS GEMs, H26.113 maps to ICD-9 codes: 36621. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

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

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included