2027 ICD-10-CM Diagnosis Code H25.092Other age-related incipient cataract, left eye

ICD-10-CM Codes›H00–H59›H25-H28›H25

ICD-10-CM H25.092
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H25.092 is a billable ICD-10-CM diagnosis code for other age-related incipient cataract, left eye. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124). Coders also document this condition as incipient cataract. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Cataract and other lens disorders.

Code Identity

ICD-10-CM Code
H25.092
Billable Status
Yes — Valid for Submission
Code Describes
Other age-related incipient cataract, left eye
Short Description
Other age-related incipient cataract, left eye
Same as the full description in the CMS dataset.
Parent Code
H25.09
Other age-related incipient cataract

Code Classification

ChapterH00–H59Diseases of the eye and adnexa
SectionH25-H28Disorders of lens
CategoryH25Age-related cataract
This CodeH25.092Other age-related incipient cataract, left eye

Code EditsBilling

Medicare Code Editor checks that affect claim validity for H25.092.

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 SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Incipient cataract
  • Incipient cataract of left eye

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H25.092: its own notes plus those printed at H25 and Chapter 7. A note printed at a category, block or chapter applies to every code under it.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From H25 Age-related cataract applies to 30 codes
  • capsular glaucoma with pseudoexfoliation of lens (H40.1-)
From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Notes

General instructions on how these codes are used.

From Chapter 7 (H00-H59) Diseases of the eye and adnexa applies to 2,677 codes
  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EYE002
Cataract and other lens disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Cataract

A cataract is a clouding of the clear lens inside your eye. This cloudiness blocks light from reaching the back of the eye, making it harder to see clearly. A cataract can affect one or both eyes, but it doesn't spread from one eye to the other.

The full article covers:

  • What are cataracts?
  • What causes cataracts?
  • Who is more likely to develop cataracts?
  • What are the symptoms of cataracts?
  • How are cataracts diagnosed?
  • How are cataracts treated?
  • Can cataracts be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H25.092 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
366.12 Incipient cataract
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H25.092Overview

What is the ICD-10 code for other age-related incipient cataract, left eye?

The ICD-10-CM code for other age-related incipient cataract, left eye is H25.092 (sometimes written as H25092). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H25.092 (Other age-related incipient cataract) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other age-related incipient cataract, left eye on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H25.092 group to?

When other age-related incipient cataract, left eye is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can H25.092 be reported for?

The Medicare Code Editor checks other age-related incipient cataract, left eye against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of H25.092?

Under the General Equivalence Mappings, other age-related incipient cataract, left eye converts to ICD-9-CM 366.12 (incipient cataract). The mapping is approximate, so confirm the match fits the documentation.