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H25.091

H25.091: Other age-related incipient cataract, right eye

Billable / specific codeICD-10-CMright

H25.091 is a billable, specific ICD-10-CM code for other age-related incipient cataract, right eye. It is valid for submission on a claim.

Check H25.091 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above H25.091

Not part of this code, but both may be coded when both are present.

Written on H25: Age-related cataract

  • capsular glaucoma with pseudoexfoliation of lens (H40.1-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H25.091 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56613Billing and Coding: Cataract Surgery
  • A56615Billing and Coding: Cataract Extraction (including Complex Cataract Surgery)
  • A57070Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
  • A57195Billing and Coding: Cataract Surgery in Adults

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H25.09

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.