H25 ICD-10-CM Code: Age-related cataract
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 1 inclusion term · 1 Excludes2
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for H25 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Inclusion Terms
Alternative terms the tabular list files under this code.
- Senile cataract
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- capsular glaucoma with pseudoexfoliation of lens (H40.1-) Compare H25 vs H40.1 →
Coder workflow for H25
MedCoder structured workflow — derived from this code’s own official record
Before you code H25
- H25 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewH25.0, H25.1, H25.2, H25.8, H25.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
Choose the right path
- Does the documentation support one of the more specific codes beneath H25?
Yes → Select that code and continue the checks below on its own page.
No → H25 cannot be reported as written; query for the specificity its subcategory needs.
Consider H25. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes2 — not part of H25(1 note)
Coding workflow: The conditions named in this note are not included in H25. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareH40.1
See the official tabular notes · Guidelines I.A.12.b
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
- Not billable as written — a more specific code is required: H25.011, H25.012, H25.013, H25.019, H25.031.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Contextual Map
Every relationship of H25 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run H25 with this related code in Claim Check
Hierarchy
- H00-H59 — Chapter 7: Diseases of the Eye and Adnexa (H00-H59) (H00-H59)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H25-H28 — Disorders of lens[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes2
- H40.1 — Open-angle glaucoma[Excludes2]: “capsular glaucoma with pseudoexfoliation of lens (H40.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes (39)
- H25.0 — Age-related incipient cataract[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H25.01 — Cortical age-related cataract[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H25.011 — Cortical age-related cataract, right eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H25.012 — Cortical age-related cataract, left eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H25.013 — Cortical age-related cataract, bilateral[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H25.019 — Cortical age-related cataract, unspecified eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H25.03 — Anterior subcapsular polar age-related cataract[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H25.031 — Anterior subcapsular polar age-related cataract, right eye[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 31 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can H25 be billed directly?
No. H25 (Age-related cataract) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "H25 — Age-related cataract." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/h25-age-related-cataract
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionAge-related cataract
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to H25 in its code family, with their registry titles.
- H25.0 — Age-related incipient cataract
- H25.01 — Cortical age-related cataract
- H25.011 — Cortical age-related cataract, right eye
- H25.012 — Cortical age-related cataract, left eye
- H25.013 — Cortical age-related cataract, bilateral
- H25.019 — Cortical age-related cataract, unspecified eye
- H25.03 — Anterior subcapsular polar age-related cataract
- H25.031 — Anterior subcapsular polar age-related cataract, right eye
- H25.032 — Anterior subcapsular polar age-related cataract, left eye
- H25.033 — Anterior subcapsular polar age-related cataract, bilateral
- H25.039 — Anterior subcapsular polar age-related cataract, unspecified eye
- H25.04 — Posterior subcapsular polar age-related cataract
- H25.041 — Posterior subcapsular polar age-related cataract, right eye
- H25.042 — Posterior subcapsular polar age-related cataract, left eye
- H25.043 — Posterior subcapsular polar age-related cataract, bilateral
- H25.049 — Posterior subcapsular polar age-related cataract, unspecified eye
- H25.09 — Other age-related incipient cataract
- H25.091 — Other age-related incipient cataract, right eye
- H25.092 — Other age-related incipient cataract, left eye
- H25.093 — Other age-related incipient cataract, bilateral
- H25.099 — Other age-related incipient cataract, unspecified eye
- H25.1 — Age-related nuclear cataract
- H25.10 — Age-related nuclear cataract, unspecified eye
- H25.11 — Age-related nuclear cataract, right eye
- H25.12 — Age-related nuclear cataract, left eye
- H25.13 — Age-related nuclear cataract, bilateral
- H25.2 — Age-related cataract, morgagnian type
- H25.20 — Age-related cataract, morgagnian type, unspecified eye
- H25.21 — Age-related cataract, morgagnian type, right eye
- H25.22 — Age-related cataract, morgagnian type, left eye
- H25.23 — Age-related cataract, morgagnian type, bilateral
- H25.8 — Other age-related cataract
- H25.81 — Combined forms of age-related cataract
- H25.811 — Combined forms of age-related cataract, right eye
- H25.812 — Combined forms of age-related cataract, left eye
- H25.813 — Combined forms of age-related cataract, bilateral
- H25.819 — Combined forms of age-related cataract, unspecified eye
- H25.89 — Other age-related cataract
- H25.9 — Unspecified age-related cataract