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

ICD-10 H26.40

Billable / Specific

Unspecified secondary cataract

H26
Block
0
Synonyms
18
LCDs
4
Payer Policies
1
Linked CPTs

About ICD-10-CM H26.40

ICD-10-CM code H26.40 represents Unspecified secondary cataract. This is a billable/specific code in the Eye and Adnexa chapter (block H26). The 2026 edition of ICD-10-CM H26.40 became effective on October 1, 2025.

Medicare LCD Coverage for H26.40

Local Coverage Determinations (LCDs) from CMS MACs that list H26.40 as a covered diagnosis.

18 LCDs

Showing top 10 of 18 total . Click a CPT for full coverage scope.

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 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66920 →
CMS LCD: Billing and Coding: Cataract Surgery
Article ID: 56613, Effective: 2025-10-01 00:00:00, 163 covered, 0 non-covered
CPT 66988 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H26.40.

4 policies

3 Medicare

Billing and Coding: Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy
Policy ID: ART-56493
Billing and Coding: Cataract Surgery
Policy ID: ART-56613
Billing and Coding: Visual Field Examination
Policy ID: ART-57637

1 Aetna

YAG Laser in Ophthalmology and Other Selected Indications
Policy ID: CPB-0354

CPT Codes Commonly Billed with H26.40

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

1 linkages
  • 66820 CMS LCD: Billing and Coding: Capsule Opacification Following Cataract Surgery: Discission and YAG Laser Capsulotomy CMS LCD

Convert H26.40 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H26.40 36650 00000

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

ICD-10 H26.40, Billing FAQ

Is ICD-10 code H26.40 billable? +

Yes, H26.40 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 H26.40? +

Procedures frequently paired with H26.40 include: 66820.

What ICD-9 codes does H26.40 map to? +

Per CMS GEMs, H26.40 maps to ICD-9 codes: 36650. 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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