ICD-10 H25
Non-Billable HeaderAge-related cataract
About ICD-10-CM H25
ICD-10-CM code H25 represents Age-related cataract. This is a non-billable header code in the Eye and Adnexa chapter (block H25). The 2026 edition of ICD-10-CM H25 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under H25. Per CMS ICD-10-CM Tabular 2026.
- Senile cataract
Type 2 Excludes
Not included here, the excluded code is not part of H25, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- capsular glaucoma with pseudoexfoliation of lens (H40.1-)
Medicare LCD Coverage for H25
Local Coverage Determinations (LCDs) from CMS MACs that list H25 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H25.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but H25 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with H25
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To H25
Other codes in section H25-H28 (Disorders of lens).
ICD-10 H25, Billing FAQ
Is ICD-10 code H25 billable? +
No, H25 is a non-billable header code. Use a more specific child code from block H25 when submitting claims.
What other names or terms map to H25? +
ICD-10 H25 includes: Senile cataract.
What codes are Type 2 Excludes for H25? +
Type 2 Excludes (may be coded together when both conditions exist): capsular glaucoma with pseudoexfoliation of lens (H40.1-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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