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H26.011 vs H26.012

H26.011 (Infantile and juvenile cortical, lamellar, or zonular cataract, right eye) compared with H26.012 (Infantile and juvenile cortical, lamellar, or zonular cataract, left eye), from the official CMS tabular data. H26.011 and H26.012 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H26.011
Right
Infantile and juvenile cortical, lamellar, or zonular cataract, right eye
H26.012
Left
Infantile and juvenile cortical, lamellar, or zonular cataract, left eye

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H26.011 and H26.012 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H26.011Infantile and juvenile cortical, lamellar, or zonular cataract, right eyeH26.012Infantile and juvenile cortical, lamellar, or zonular cataract, left eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionInfantile and juvenile cortical, lamellar, or zonular cataract, right eye is a billable ICD-10-CM diagnosis code (H26.011).Infantile and juvenile cortical, lamellar, or zonular cataract, left eye is a billable ICD-10-CM diagnosis code (H26.012).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources