Localized traumatic opacities, bilateral

This code signifies the presence of clouding or haziness in both eyes that is confined to a specific area and is directly attributable to a past injury. These opacities are typically scars or changes in the ocular tissue resulting from trauma, rather than a systemic disease process.

Apply this code when documentation clearly indicates localized, non-diffuse opacities in both eyes that are a sequela of a traumatic event. The physician's notes should specify the bilateral involvement and the traumatic etiology, distinguishing it from congenital or degenerative conditions.

• Ensure documentation specifies "bilateral" involvement; otherwise, use the appropriate unilateral code (H26.111 or H26.112).
• Do not confuse with diffuse opacities or opacities due to non-traumatic causes (e.g., cataracts, corneal dystrophies).
• Code any associated external cause of injury (e.g., W00-Y38) as a secondary diagnosis, if known and relevant.