ICD-10 Code H26.21 – Cataract with neovascularization (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Cataract with neovascularization is H26.21.
2026 ICD-10-CM Diagnosis Code H26.21 – Cataract with neovascularization

What it is

This code identifies a cataract complicated by neovascularization, meaning abnormal new blood vessels are present in or around the eye with the lens opacity. It signals a more complex cataract diagnosis than routine age-related lens clouding.

Clinical signs

Documentation may note reduced vision, lens opacity, and visible or reported neovascular changes in the eye. Clinical features vary; refer to documentation.

When to use this code

Use H26.21 when the provider documents cataract with neovascularization as the diagnosis. Apply it when the record clearly links the cataract to abnormal vessel growth, such as in ophthalmology assessments or follow-up notes. Check documentation if the neovascularization is mentioned without a confirmed cataract.

Do not use for

Do not use this code for uncomplicated cataract, or for neovascularization without documented cataract. If the record only says “eye neovascularization” or the cause is unclear, check documentation.

Coding tip

Code only when both cataract and neovascularization are explicitly documented together in the same clinical context.

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