ICD-10-CM Code H25.019

Valid for Submission

H25.019 is a billable code used to specify a medical diagnosis of cortical age-related cataract, unspecified eye. The code is valid for the year 2020 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 cataract or 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.

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 - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Cortical cataract
• Cortical senile cataract

Diagnostic Related Groups

The ICD-10 code H25.019 is grouped in the following groups for version MS-DRG V37.0 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 10/01/2019 through 09/30/2020.

• 124 - OTHER DISORDERS OF THE EYE WITH MCC
• 125 - OTHER DISORDERS OF THE EYE WITHOUT MCC

Convert H25.019 to ICD-9

• 366.15 - Cortical senile cataract (Approximate Flag)

Code Classification

• Diseases of the eye and adnexa (H00–H59)
  • Disorders of lens (H25-H28)
    • Age-related cataract (H25)

Code History

• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
  (First year ICD-10-CM implemented into the HIPAA code set)
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Tools

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• Convert H25.019 to ICD-9