Cataract extraction status, unspecified eye

This code indicates that a patient has a history of having a cataract removed, but the specific eye (left or right) on which the procedure was performed is not documented or is unknown. It signifies a post-operative state following cataract surgery without laterality specified.

Use this code when a patient's medical record clearly states a history of cataract extraction, but there is no documentation to specify whether it was the right, left, or both eyes. This is appropriate for situations where the laterality is truly unspecified or cannot be determined from the available clinical notes.

• Only use this code when documentation explicitly lacks laterality for cataract extraction status.
• Always query the provider for laterality if it's missing, as more specific codes exist.
• Do not use this code if the patient has had cataract extraction on both eyes; use the bilateral code instead.