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.
All codes under H25
H25 can't be used on a claim. Pick a billable code below; grey headings group them.
- H25.0Age-related incipient cataract
- H25.01Cortical age-related cataract
- H25.011Cortical age-related cataract, right eye
- H25.012Cortical age-related cataract, left eye
- H25.013Cortical age-related cataract, bilateral
- H25.019Cortical age-related cataract, unspecified eye
- H25.03Anterior subcapsular polar age-related cataract
- H25.031Anterior subcapsular polar age-related cataract, right eye
- H25.032Anterior subcapsular polar age-related cataract, left eye
- H25.033Anterior subcapsular polar age-related cataract, bilateral
- H25.039Anterior subcapsular polar age-related cataract, unspecified eye
- H25.04Posterior subcapsular polar age-related cataract
- H25.041Posterior subcapsular polar age-related cataract, right eye
- H25.042Posterior subcapsular polar age-related cataract, left eye
- H25.043Posterior subcapsular polar age-related cataract, bilateral
- H25.049Posterior subcapsular polar age-related cataract, unspecified eye
- H25.09Other age-related incipient cataract
- H25.091Other age-related incipient cataract, right eye
- H25.092Other age-related incipient cataract, left eye
- H25.093Other age-related incipient cataract, bilateral
- H25.099Other age-related incipient cataract, unspecified eye
- H25.1Age-related nuclear cataract
- H25.10Age-related nuclear cataract, unspecified eye
- H25.11Age-related nuclear cataract, right eye
- H25.12Age-related nuclear cataract, left eye
- H25.13Age-related nuclear cataract, bilateral
- H25.2Age-related cataract, morgagnian type
- H25.20Age-related cataract, morgagnian type, unspecified eye
- H25.21Age-related cataract, morgagnian type, right eye
- H25.22Age-related cataract, morgagnian type, left eye
- H25.23Age-related cataract, morgagnian type, bilateral
- H25.8Other age-related cataract
- H25.81Combined forms of age-related cataract
- H25.811Combined forms of age-related cataract, right eye
- H25.812Combined forms of age-related cataract, left eye
- H25.813Combined forms of age-related cataract, bilateral
- H25.819Combined forms of age-related cataract, unspecified eye
- H25.89Other age-related cataract
- H25.9Unspecified age-related cataract
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 MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
