ICD-10-CM Codes
H00-H59 Diseases of the eye and adnexa
H25-H28 Disorders of lens
H25- Age-related cataract

2020 ICD-10-CM Diagnosis Code H25.042

Posterior subcapsular polar age-related cataract, left eye

2016

2017

2018

2019

2020

Billable/Specific Code

Adult Dx (15-124 years)

H25.042 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2020 edition of ICD-10-CM H25.042 became effective on October 1, 2019.
This is the American ICD-10-CM version of H25.042 - other international versions of ICD-10 H25.042 may differ.

ICD-10-CM Coding Rules

H25.042 is applicable to adult patients aged 15 - 124 years inclusive.

The following code(s) above H25.042 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to H25.042:

H00-H59
2020 ICD-10-CM Range H00-H59
Diseases of the eye and adnexa
Note
- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Type 2 Excludes
- 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)
Diseases of the eye and adnexa
H25
ICD-10-CM Diagnosis Code H25
Age-related cataract
Applicable To
- Senile cataract
Type 2 Excludes
- capsular glaucoma with pseudoexfoliation of lens (H40.1-)
Age-related cataract

Approximate Synonyms

Age related left posterior subcapsular polar cataract
Left age related posterior subcapsular polar cataract

ICD-10-CM H25.042 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):

124 Other disorders of the eye with mcc
125 Other disorders of the eye without mcc

Convert H25.042 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change

ICD-10-CM Codes Adjacent To H25.042

H25.012 …… left eye

H25.013 …… bilateral

H25.019 …… unspecified eye

H25.03 Anterior subcapsular polar age-related cataract

H25.031 …… right eye

H25.032 …… left eye

H25.033 …… bilateral

H25.039 …… unspecified eye

H25.04 Posterior subcapsular polar age-related cataract

H25.041 …… right eye

H25.042 …… left eye

H25.043 …… bilateral

H25.049 …… unspecified eye

H25.09 Other age-related incipient cataract

H25.091 …… right eye

H25.092 …… left eye

H25.093 …… bilateral

H25.099 …… unspecified eye

H25.1 Age-related nuclear cataract

H25.10 …… unspecified eye

H25.11 …… right eye

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2020 ICD-10-CM Diagnosis Code H25.042

Posterior subcapsular polar age-related cataract, left eye

Diseases of the eye and adnexa

Age-related cataract