ICD-10-CM Billable Code

H26.119

Localized traumatic opacities, unspecified eye

Clinical Classification Guidelines

Medical Intelligence & Overview

Localized traumatic opacities of the eye are a condition characterized by the development of cloudy areas within the eye's lens or cornea resulting from trauma. These opacities impair vision by obstructing light passage, and their severity depends on the damage's extent and location. This condition requires careful diagnosis and management to prevent long-term visual impairment. The ICD-10 code H26.119 is used to classify cases where the opacities are specifically traumatic and localized, but the exact cause or location within the eye has not been specified.

Causes & Symptoms

Clinical Causes: Physical injury to the eye from blunt or sharp objects Accidental trauma during sports or recreational activities Falls or work-related accidents Chemical injuries that affect the eye tissue Prior eye surgeries with traumatic complications

Key Symptoms: Blurred or decreased vision in the affected eye Feeling of grittiness or foreign body sensation Light sensitivity (photophobia) Seeing halos or glare around lights Discoloration or cloudy appearance in the eye Pain (occasionally, depending on injury severity) Swelling or redness around the eye

Diagnostic & Treatment

Diagnosis Path: Diagnosis begins with a comprehensive eye exam performed by an eye care specialist. The examination may include:

Treatment Protocols: Treatment strategies depend on the severity and specific features of the traumatic opacities. Options may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H26.119 a billable ICD-10 code?
Yes, H26.119 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H26.119?
Clinical documentation must specify the nature of Localized traumatic opacities, unspecified eye and any associated comorbidities for accurate reporting.

Cite this Clinical Reference