Unspecified complicated cataract

This code represents a cataract that has developed in association with or as a consequence of another ocular or systemic disease, trauma, or medication, where the specific type of complication is not documented. It signifies a secondary cataract where the underlying cause or specific nature of the complication is unknown or unstated.

Use this code when the medical record clearly indicates a complicated cataract, but the physician's documentation does not specify the exact nature of the complication (e.g., traumatic, diabetic, drug-induced, or associated with uveitis). This code is appropriate when the documentation only states "complicated cataract" without further detail.

• Avoid using this code if the specific type of complicated cataract is documented; instead, use a more specific code from the H26.2- subcategory.
• Query the provider for more specific documentation if "complicated cataract" is noted without further elaboration, to allow for more precise coding.
• Sequence this code as the primary diagnosis if the cataract is the main reason for the encounter, or as a secondary diagnosis if it's a co-morbidity.