H25.092
H25.092 — Other age-related incipient cataract, left eye
Billable / specific codeICD-10-CMleft
H25.092 is a billable, specific ICD-10-CM code for other age-related incipient cataract, left eye. It is valid for submission on a claim.
Risk adjustment
H25.092 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H25.092 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
Related codes at this level
Codes that share H25.09. If H25.092 is not quite right, the correct code is usually one of these.
Questions about H25.092
- Is H25.092 a billable ICD-10-CM code?
- Yes. H25.092 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H25.092 sit in the tabular list?
- Diseases of the eye and adnexa (H00-H59), in the block Disorders of lens (H25-H28).