ICD-10 · PDGM grouping
H25 Age-related cataract
All 30 codes in the H25 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
30
Can lead a claim
23
Cannot lead a claim
7
What CMS assigns to H25
23 of the 30 codes group to MMTA - Other; 7 are assigned no clinical group. None of the 30 is assigned a comorbidity subgroup. 23 of the 30 can lead a claim.
Every code in H25
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| H25.0 Age-related incipient cataract | ||||
| H25.01 Cortical age-related cataract | ||||
| H25.011 | Cortical age-related cataract, right eye | Can lead a claim | A | None |
| H25.012 | Cortical age-related cataract, left eye | Can lead a claim | A | None |
| H25.013 | Cortical age-related cataract, bilateral | Can lead a claim | A | None |
| H25.019 | Cortical age-related cataract, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H25.03 Anterior subcapsular polar age-related cataract | ||||
| H25.031 | Anterior subcapsular polar age-related cataract, right eye | Can lead a claim | A | None |
| H25.032 | Anterior subcapsular polar age-related cataract, left eye | Can lead a claim | A | None |
| H25.033 | Anterior subcapsular polar age-related cataract, bilateral | Can lead a claim | A | None |
| H25.039 | Anterior subcapsular polar age-related cataract, unspecified eyeCMS: Anterior subcapsular polar age-related cataract, unsp eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H25.04 Posterior subcapsular polar age-related cataract | ||||
| H25.041 | Posterior subcapsular polar age-related cataract, right eye | Can lead a claim | A | None |
| H25.042 | Posterior subcapsular polar age-related cataract, left eye | Can lead a claim | A | None |
| H25.043 | Posterior subcapsular polar age-related cataract, bilateral | Can lead a claim | A | None |
| H25.049 | Posterior subcapsular polar age-related cataract, unspecified eyeCMS: Posterior subcapsular polar age-related cataract, unsp eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H25.09 Other age-related incipient cataract | ||||
| H25.091 | Other age-related incipient cataract, right eye | Can lead a claim | A | None |
| H25.092 | Other age-related incipient cataract, left eye | Can lead a claim | A | None |
| H25.093 | Other age-related incipient cataract, bilateral | Can lead a claim | A | None |
| H25.099 | Other age-related incipient cataract, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H25.1 Age-related nuclear cataract | ||||
| H25.10 | Age-related nuclear cataract, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H25.11 | Age-related nuclear cataract, right eye | Can lead a claim | A | None |
| H25.12 | Age-related nuclear cataract, left eye | Can lead a claim | A | None |
| H25.13 | Age-related nuclear cataract, bilateral | Can lead a claim | A | None |
| H25.2 Age-related cataract, morgagnian type | ||||
| H25.20 | Age-related cataract, morgagnian type, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H25.21 | Age-related cataract, morgagnian type, right eye | Can lead a claim | A | None |
| H25.22 | Age-related cataract, morgagnian type, left eye | Can lead a claim | A | None |
| H25.23 | Age-related cataract, morgagnian type, bilateral | Can lead a claim | A | None |
| H25.8 Other age-related cataract | ||||
| H25.81 Combined forms of age-related cataract | ||||
| H25.811 | Combined forms of age-related cataract, right eye | Can lead a claim | A | None |
| H25.812 | Combined forms of age-related cataract, left eye | Can lead a claim | A | None |
| H25.813 | Combined forms of age-related cataract, bilateral | Can lead a claim | A | None |
| H25.819 | Combined forms of age-related cataract, unspecified eye | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H25.89 | Other age-related cataract | Can lead a claim | A | None |
| H25.9 | Unspecified age-related cataract | Can lead a claim | A | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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