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H26.4 vs H59.351

H26.4 (Secondary cataract) compared with H59.351 (Postprocedural seroma of right eye and adnexa following an ophthalmic procedure), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. H59.351 carries an Excludes1 note covering H26.4: “secondary cataracts (H26.4-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

H26.4Secondary cataractH59.351Postprocedural seroma of right eye and adnexa following an ophthalmic procedure
Billing statusNon-billable header

Report instead: H26.40, H26.411, H26.412, H26.413, H26.419

Billable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionSecondary cataract is a non-billable ICD-10-CM category code (H26.4).Postprocedural seroma of right eye and adnexa following an ophthalmic procedure is a billable ICD-10-CM diagnosis code (H59.351).

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