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H25.811 vs H25.819

H25.811 (Combined forms of age-related cataract, right eye) compared with H25.819 (Combined forms of age-related cataract, unspecified eye), from the official CMS tabular data. H25.811 and H25.819 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H25.811
Right
Combined forms of age-related cataract, right eye
H25.819
Unspecified
Combined forms of age-related cataract, unspecified eye

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H25.811 and H25.819 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H25.811Combined forms of age-related cataract, right eyeH25.819Combined forms of age-related cataract, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionCombined forms of age-related cataract, right eye is a billable ICD-10-CM diagnosis code (H25.811).Combined forms of age-related cataract, unspecified eye is a billable ICD-10-CM diagnosis code (H25.819).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources