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Billing and Coding: Cataract Surgery
A56613
Policy Summary
This billing and coding guideline complements LCD L34413 for cataract surgery and specifies diagnosis coding order and detail requirements. For a set of cataract-related ICD-10 codes (including H26.21x–H26.23x, E08.36–E13.36, and H28) the underlying condition must be coded first; for H26.31, H26.32, H26.33, and H26.8 the causative agent must be identified on the claim.
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Key requirements from the full policy
"When billing ICD-10 codes H26."
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Covered Medical Codes