ICD-10 Diagnosis Code H25.813

Combined forms of age-related cataract, bilateral

Diagnosis Code H25.813

ICD-10: H25.813
Short Description: Combined forms of age-related cataract, bilateral
Long Description: Combined forms of age-related cataract, bilateral
This is the 2019 version of the ICD-10-CM diagnosis code H25.813

Valid for Submission
The code H25.813 is valid for submission for HIPAA-covered transactions.

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

Information for Medical Professionals


Code Edits
The following edits are applicable to this code:
Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Diagnostic Related Groups
The diagnosis code H25.813 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

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

Convert to ICD-9
  • 366.19 - Senile cataract NEC (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

  • Cataract (Medical Encyclopedia)
  • Cataract removal (Medical Encyclopedia)
  • Slit-lamp exam (Medical Encyclopedia)
  • Standard ophthalmic exam (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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