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2025 ICD-10-CM code H25

Age-related cataract.

Use the most specific code available for the type of age-related cataract. If the cataract is due to a specific underlying condition (e.g., trauma, diabetes), an additional code should be used to report that condition.

Medical necessity for treatment of age-related cataracts is typically established when the cataract significantly impairs vision and impacts the patient's ability to perform daily activities.The level of impairment required for medical necessity may vary among payers.

Diagnosis and management of age-related cataracts typically fall under the purview of ophthalmologists. They perform eye exams, assess the severity of the cataract, and determine the appropriate treatment, which may include surgical removal of the cataract.

IMPORTANT:More specific codes exist for different types of age-related cataracts (e.g., H25.0 for incipient, H25.1 for nuclear, H25.2 for mature, etc.).Use the most specific code available.

In simple words: This code refers to a clouding of the eye's lens that naturally occurs with age, called a cataract.There are different types of age-related cataracts depending on the location and severity of the cloudiness.

Age-related cataract encompasses various forms of cataracts that develop due to aging, including incipient, cortical, nuclear, posterior subcapsular, mature, and hypermature cataracts.It also includes combined forms of age-related cataracts.

Example 1: A 70-year-old patient presents with blurry vision and difficulty seeing at night.Examination reveals an age-related nuclear cataract in both eyes., A 65-year-old patient with a history of diabetes presents with worsening vision.Examination shows an age-related cortical cataract in the right eye., An 80-year-old patient has a mature age-related cataract in the left eye causing significant vision loss and is scheduled for cataract surgery.

Documentation should include the type and location of the age-related cataract (e.g., nuclear, cortical, posterior subcapsular), the affected eye(s), and the severity of the cataract (e.g., incipient, mature, hypermature). Visual acuity measurements and any impact on the patient's daily activities should also be documented.

** Excludes2: certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy, childbirth, and the puerperium (O00-O9A), congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99), diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-), endocrine, nutritional and metabolic diseases (E00-E88), injury (trauma) of eye and orbit (S05.-), injury, poisoning and certain other consequences of external causes (S00-T88), neoplasms (C00-D49), symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94), syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71).

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iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.