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

ICD-10 H26.133

Billable / Specific

Total traumatic cataract, bilateral

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

About ICD-10-CM H26.133

ICD-10-CM code H26.133 represents Total traumatic cataract, bilateral. This is a billable/specific code in the Eye and Adnexa chapter (block H26). The 2026 edition of ICD-10-CM H26.133 became effective on October 1, 2025.

Medicare LCD Coverage for H26.133

Local Coverage Determinations (LCDs) from CMS MACs that list H26.133 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 H26.133.

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 H26.133

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

No procedure linkages on file for H26.133

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 H26.133 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H26.133 36622 10000

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

ICD-10 H26.133, Billing FAQ

Is ICD-10 code H26.133 billable? +

Yes, H26.133 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H26.133 map to? +

Per CMS GEMs, H26.133 maps to ICD-9 codes: 36622. 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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