2025 ICD-10-CM code H25.2
(Active) Effective Date: N/A Diseases of the eye and adnexa - Disorders of lens (H25-H28) 7 (Diseases of the eye and adnexa (H00-H59)) Feed
Age-related cataract, morgagnian type. This refers to a hypermature cataract where the lens cortex has liquefied, leaving the nucleus floating within the capsule.
Medical necessity for intervention, such as cataract surgery, is determined by the degree of visual impairment and its impact on the patient's quality of life.The patient's symptoms, visual acuity measurements, and the presence of any complications, like phacolytic glaucoma, will be considered in establishing medical necessity.
Diagnosis and management of this condition falls under the purview of ophthalmologists. They are responsible for confirming the diagnosis through a comprehensive eye examination, including visual acuity testing and slit-lamp biomicroscopy. The ophthalmologist will also determine the best course of treatment, which may involve surgical removal of the cataract if vision is significantly impaired.
In simple words: This code refers to a type of cataract that develops with age, where the lens inside the eye becomes cloudy and more liquid, and the central part of the lens can move around inside its covering.
Age-related cataract, morgagnian type. This describes an advanced stage of age-related cataract where the lens cortex has become liquefied, and the dense nucleus is free to move within the lens capsule.It is a type of hypermature cataract.
Example 1: A 78-year-old patient presents with progressively worsening vision in their right eye. Upon examination, the ophthalmologist observes a milky-white appearance to the lens with evidence of liquefaction of the cortex and a mobile nucleus. The diagnosis of age-related cataract, morgagnian type, is made., An 85-year-old individual with a history of age-related cataracts reports a sudden improvement in vision in one eye, followed by a rapid decline.Examination reveals a morgagnian cataract, where the nucleus has shifted, temporarily improving vision before obstructing the visual axis again., During a routine eye exam, a 70-year-old patient is found to have a morgagnian cataract.Although the patient is currently asymptomatic, the ophthalmologist educates the patient about the potential risks of complications, such as phacolytic glaucoma and lens dislocation, and discusses the option of cataract surgery.
Documentation should include a detailed description of the slit-lamp examination findings, including the appearance of the lens, evidence of cortical liquefaction, and mobility of the nucleus. Visual acuity measurements and any associated symptoms, such as glare or halos, should also be documented.If surgery is performed, operative details and post-operative findings should be recorded.
- Payment Status: Active
- Specialties:Ophthalmology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center