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2025 ICD-10-CM code H25.1

Age-related nuclear cataract.The lens of the eye becomes cloudy due to aging.

Use H25.1 to code for age-related nuclear cataracts. Do not use this code if the cataract is caused by trauma, metabolic disorders, or other underlying conditions.

Medical necessity for treatment depends on the severity of the cataract and its impact on the patient's quality of life.If the cataract significantly impairs vision and interferes with daily activities such as reading, driving, or working, then treatment, such as surgery, may be deemed medically necessary.

Diagnosis and management of age-related nuclear cataracts fall under the purview of ophthalmologists.They perform comprehensive eye exams, assess visual acuity, determine the severity of cataracts, and discuss treatment options.

In simple words: The center of the lens in your eye gets cloudy as you grow older, making it harder to see clearly. This is a normal part of aging.

Age-related nuclear cataract is a condition where the central part of the eye's lens, known as the nucleus, becomes cloudy or opaque due to the natural aging process. This cloudiness can interfere with vision by scattering and blocking light as it passes through the lens.Also known as senile nuclear cataract or nuclear sclerosis cataract.

Example 1: A 68-year-old patient presents with gradual blurring of vision in both eyes. Upon examination, an ophthalmologist diagnoses age-related nuclear cataracts., A 75-year-old patient with a history of age-related nuclear cataracts experiences worsening vision and difficulty with night driving., An 80-year-old patient with age-related nuclear cataracts decides to undergo cataract surgery to improve their vision.

Documentation should include a detailed eye exam with visual acuity measurements, slit-lamp examination findings describing the cataract's characteristics (e.g., location, density), and assessment of the impact on the patient's daily activities.Any discussions regarding treatment options and the patient's decision-making process should also be documented.

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