2022 ICD-10-CM Code H25.019
Cortical age-related cataract, unspecified eye
Code Classification
H25.019 is a billable diagnosis code used to specify a medical diagnosis of cortical age-related cataract, unspecified eye. The code H25.019 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code H25.019 might also be used to specify conditions or terms like cortical senile cataract.
The code H25.019 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.
Unspecified diagnosis codes like H25.019 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Adult diagnoses - The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Cortical senile cataract
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code H25.019 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 124 | OTHER DISORDERS OF THE EYE WITH MCC | 02 | 1.3988 |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | 02 | 0.8354 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert H25.019 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code H25.019 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 366.15 - Cortical senile cataract (Approximate Flag)
Information for Patients
Cataract
A cataract is a clouding of the lens in your eye. It affects your vision. Cataracts are very common in older people. By age 80, more than half of all Americans either have a cataract or have had cataract surgery.
A cataract can occur in either or both eyes. It cannot spread from one eye to the other. Common symptoms are
- Blurry vision
- Colors that seem faded
- Glare - headlights, lamps or sunlight may seem too bright. You may also see a halo around lights.
- Not being able to see well at night
- Double vision
- Frequent prescription changes in your eye wear
Cataracts usually develop slowly. New glasses, brighter lighting, anti-glare sunglasses or magnifying lenses can help at first. Surgery is also an option. It involves removing the cloudy lens and replacing it with an artificial lens. Wearing sunglasses and a hat with a brim to block ultraviolet sunlight may help to delay cataracts.
NIH: National Eye Institute
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| H25 | Age-related cataract | NON-BILLABLE CODE |
| H25.0 | Age-related incipient cataract | NON-BILLABLE CODE |
| H25.01 | Cortical age-related cataract | NON-BILLABLE CODE |
| H25.011 | Cortical age-related cataract, right eye | BILLABLE CODE |
| H25.012 | Cortical age-related cataract, left eye | BILLABLE CODE |
| H25.013 | Cortical age-related cataract, bilateral | BILLABLE CODE |
| H25.03 | Anterior subcapsular polar age-related cataract | NON-BILLABLE CODE |
| H25.031 | Anterior subcapsular polar age-related cataract, right eye | BILLABLE CODE |
| H25.032 | Anterior subcapsular polar age-related cataract, left eye | BILLABLE CODE |
| H25.033 | Anterior subcapsular polar age-related cataract, bilateral | BILLABLE CODE |
| H25.039 | Anterior subcapsular polar age-related cataract, unspecified eye | BILLABLE CODE |
| H25.04 | Posterior subcapsular polar age-related cataract | NON-BILLABLE CODE |
| H25.041 | Posterior subcapsular polar age-related cataract, right eye | BILLABLE CODE |
| H25.042 | Posterior subcapsular polar age-related cataract, left eye | BILLABLE CODE |
| H25.043 | Posterior subcapsular polar age-related cataract, bilateral | BILLABLE CODE |
| H25.049 | Posterior subcapsular polar age-related cataract, unspecified eye | BILLABLE CODE |
| H25.09 | Other age-related incipient cataract | NON-BILLABLE CODE |
| H25.091 | Other age-related incipient cataract, right eye | BILLABLE CODE |
| H25.092 | Other age-related incipient cataract, left eye | BILLABLE CODE |
| H25.093 | Other age-related incipient cataract, bilateral | BILLABLE CODE |
| H25.099 | Other age-related incipient cataract, unspecified eye | BILLABLE CODE |
| H25.1 | Age-related nuclear cataract | NON-BILLABLE CODE |
| H25.10 | Age-related nuclear cataract, unspecified eye | BILLABLE CODE |
| H25.11 | Age-related nuclear cataract, right eye | BILLABLE CODE |
| H25.12 | Age-related nuclear cataract, left eye | BILLABLE CODE |
| H25.13 | Age-related nuclear cataract, bilateral | BILLABLE CODE |
| H25.2 | Age-related cataract, morgagnian type | NON-BILLABLE CODE |
| H25.20 | Age-related cataract, morgagnian type, unspecified eye | BILLABLE CODE |
| H25.21 | Age-related cataract, morgagnian type, right eye | BILLABLE CODE |
| H25.22 | Age-related cataract, morgagnian type, left eye | BILLABLE CODE |
| H25.23 | Age-related cataract, morgagnian type, bilateral | BILLABLE CODE |
| H25.8 | Other age-related cataract | NON-BILLABLE CODE |
| H25.81 | Combined forms of age-related cataract | NON-BILLABLE CODE |
| H25.811 | Combined forms of age-related cataract, right eye | BILLABLE CODE |
| H25.812 | Combined forms of age-related cataract, left eye | BILLABLE CODE |
| H25.813 | Combined forms of age-related cataract, bilateral | BILLABLE CODE |
| H25.819 | Combined forms of age-related cataract, unspecified eye | BILLABLE CODE |
| H25.89 | Other age-related cataract | BILLABLE CODE |
| H25.9 | Unspecified age-related cataract | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
