H25Not billable, use a more specific code below

Age-related cataract

In Disorders of lens (H25-H28), chapter 7: Diseases of the Eye and Adnexa

30 billable codes under H25: none are a CC or MCC; none map to an HCC.

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Instructional notes

Includes: conditions that are coded here

  • Senile cataract

Excludes2: not included here, code separately if applicable

  • capsular glaucoma with pseudoexfoliation of lens (H40.1-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers coding glaucoma by type, eye, and stage, including bilateral cases and stage changes, and coding blindness or low vision when the impairment category is undocumented.

Read Section I.C.7 (page 48)

All codes under H25

H25 can't be used on a claim. Pick a billable code below; grey headings group them.

H25 MS-DRGs

As the principal diagnosis, all 30 billable codes under H25 group to MS-DRG 124 or 125 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Cataract

A cataract is a clouding of the clear lens inside your eye. This cloudiness blocks light from reaching the back of the eye, making it harder to see clearly. A cataract can affect one or both eyes, but it doesn't spread from one eye to the other.

Read more about cataract on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.