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H26.492 vs H26.499

H26.492 (Other secondary cataract, left eye) compared with H26.499 (Other secondary cataract, unspecified eye), from the official CMS tabular data. H26.492 and H26.499 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H26.492
Left
Other secondary cataract, left eye
H26.499
Unspecified
Other secondary 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. H26.492 and H26.499 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

H26.492Other secondary cataract, left eyeH26.499Other secondary 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)
DefinitionOther secondary cataract, left eye is a billable ICD-10-CM diagnosis code (H26.492).Other secondary cataract, unspecified eye is a billable ICD-10-CM diagnosis code (H26.499).

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