Cataract ICD-10-CM Codes | 2023

Which Cataract ICD codes are Billable: 

H25.0 - Age-related nuclear cataract: 

Yes, this code is billable. Age-related nuclear cataracts are a specific and well-documented condition, and this code accurately represents the diagnosis for billing purposes.

H25.1 - Age-related cortical cataract: 

Yes, this code is billable. Similar to age-related nuclear cataracts, age-related cortical cataracts are a distinct condition with specific clinical characteristics, making it appropriate for billing purposes.

H25.9 - Unspecified age-related cataract:

Yes, this code is billable. While it represents an unspecified type of age-related cataract, it still indicates the presence of a cataract. It can be used for billing when there is insufficient documentation to assign a more specific code.

H26.9 - Unspecified cataract: 

Yes, this code is billable. When the type of cataract is not specified, but it is known that it is present, this code can be used for billing. However, efforts should be made to document and code the specific type.

H26.0 - Infantile and juvenile cataract: 

Yes, this code is billable. Infantile and juvenile cataracts are distinct conditions that affect a specific age group, making them appropriate for billing purposes.

H26.1 - Traumatic cataract: 

Yes, this code is billable. Traumatic cataracts occur due to a documented injury or trauma to the eye, and this code accurately represents the condition for billing purposes.

H26.2 - Complicated cataract: 

Yes, this code is billable. Complicated cataracts occur in association with other ocular conditions or complications, and this code appropriately captures the complexity of the condition for billing purposes.

H26.3 - Drug-induced cataract: 

Yes, this code is billable. Drug-induced cataracts are a specific type of cataract caused by medication use, and this code accurately represents the condition for billing purposes.

H26.8 - Other specified cataract: 

Yes, this code is billable. Although it covers less common types or presentations of cataracts, it allows for additional specificity in the documentation, making it appropriate for billing purposes.

H28.9 - Cataract, unspecified: 

Yes, this code is billable. While it represents an unspecified cataract without further details, it still indicates the presence of a cataract. It can be used for billing when there is insufficient documentation to assign a more specific code.

Clinical Information

Cataracts are a common eye condition characterized by clouding the eye's natural lens, leading to vision impairment. Here is some clinical information about cataracts presented in bullet points:

• Cataracts occur when the usually clear eye lens becomes cloudy, resulting in blurred or hazy vision.
• The most common cause of cataracts is aging, but they can also develop due to genetics, trauma, certain medications, and systemic diseases like diabetes.
• Symptoms of cataracts include blurry vision, difficulty seeing in low light, increased sensitivity to glare, and reduced color perception.
• Cataracts can affect one or both eyes and progress at different rates, leading to varying levels of visual impairment.
• The diagnosis of cataracts is typically made through a comprehensive eye examination, which may include visual acuity testing, dilated eye evaluation, and assessment of the lens's clarity.
• Cataract surgery is the most effective treatment for cataracts. The cloudy lens is surgically removed during the procedure and replaced with an artificial intraocular lens (IOL). Cataract surgery is generally safe and has a high success rate, resulting in improved vision and quality of life for most patients.
• Following cataract surgery, individuals may experience improved visual acuity, reduced dependence on glasses or contact lenses, and enhanced color perception.
• Regular eye examinations are essential to monitor the progression of cataracts and determine the appropriate time for surgery.

Synonyms Include:

• Opacity of the lens
• Lens clouding
• Ocular opacification
• Lens degeneration
• Lens discoloration
• Lens haziness
• Lens opacity syndrome
• Lens turbidity
• Lens blurring
•  Lens obstruction