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H26.042 vs H26.049

H26.042 (Anterior subcapsular polar infantile and juvenile cataract, left eye) compared with H26.049 (Anterior subcapsular polar infantile and juvenile cataract, unspecified eye), from the official CMS tabular data. H26.042 and H26.049 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H26.042
Left
Anterior subcapsular polar infantile and juvenile cataract, left eye
H26.049
Unspecified
Anterior subcapsular polar infantile and juvenile cataract, unspecified 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. H26.042 and H26.049 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

H26.042Anterior subcapsular polar infantile and juvenile cataract, left eyeH26.049Anterior subcapsular polar infantile and juvenile cataract, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionAnterior subcapsular polar infantile and juvenile cataract, left eye is a billable ICD-10-CM diagnosis code (H26.042).Anterior subcapsular polar infantile and juvenile cataract, unspecified eye is a billable ICD-10-CM diagnosis code (H26.049).

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