ICD-10 Code H26.133 – Total traumatic cataract, bilateral (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Total traumatic cataract, bilateral is H26.133.
2026 ICD-10-CM Diagnosis Code H26.133 – Total traumatic cataract, bilateral

What it is

This code identifies a total cataract in both eyes caused by trauma. Use it when documentation shows complete lens opacity after injury, affecting each eye.

Clinical signs

Findings may include marked lens clouding, reduced visual acuity, glare, and a history of ocular trauma. Clinical features vary; refer to documentation.

When to use this code

Use H26.133 when the provider documents bilateral total traumatic cataracts, whether from blunt injury, penetrating injury, or another traumatic event. Code it when both lenses are described as totally opaque and the cause is clearly traumatic.

If the record only notes cataract after trauma without specifying total or bilateral involvement, check documentation before assigning this code.

Do not use for

Do not use this code for congenital, age-related, or posterior subcapsular cataracts. Do not assign it when trauma is not documented or when only one eye is affected.

Coding tip

Confirm both the traumatic cause and bilateral total lens opacity in the note before coding H26.133.

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