ICD-10 · PDGM grouping
H25-H28 — Disorders of lens
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
119
No clinical group
36
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
83 of the 119 codes in H25-H28 group to MMTA - Other. A further 36 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in H25-H28
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in H25-H28
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| H25011 | Cortical age-related cataract, right eye | A | Can lead a claim |
| H25012 | Cortical age-related cataract, left eye | A | Can lead a claim |
| H25013 | Cortical age-related cataract, bilateral | A | Can lead a claim |
| H25019 | Cortical age-related cataract, unspecified eye | None | Cannot lead a claim |
| H25031 | Anterior subcapsular polar age-related cataract, right eye | A | Can lead a claim |
| H25032 | Anterior subcapsular polar age-related cataract, left eye | A | Can lead a claim |
| H25033 | Anterior subcapsular polar age-related cataract, bilateral | A | Can lead a claim |
| H25039 | Anterior subcapsular polar age-related cataract, unsp eye | None | Cannot lead a claim |
| H25041 | Posterior subcapsular polar age-related cataract, right eye | A | Can lead a claim |
| H25042 | Posterior subcapsular polar age-related cataract, left eye | A | Can lead a claim |
| H25043 | Posterior subcapsular polar age-related cataract, bilateral | A | Can lead a claim |
| H25049 | Posterior subcapsular polar age-related cataract, unsp eye | None | Cannot lead a claim |
| H25091 | Other age-related incipient cataract, right eye | A | Can lead a claim |
| H25092 | Other age-related incipient cataract, left eye | A | Can lead a claim |
| H25093 | Other age-related incipient cataract, bilateral | A | Can lead a claim |
| H25099 | Other age-related incipient cataract, unspecified eye | None | Cannot lead a claim |
| H2510 | Age-related nuclear cataract, unspecified eye | None | Cannot lead a claim |
| H2511 | Age-related nuclear cataract, right eye | A | Can lead a claim |
| H2512 | Age-related nuclear cataract, left eye | A | Can lead a claim |
| H2513 | Age-related nuclear cataract, bilateral | A | Can lead a claim |
| H2520 | Age-related cataract, morgagnian type, unspecified eye | None | Cannot lead a claim |
| H2521 | Age-related cataract, morgagnian type, right eye | A | Can lead a claim |
| H2522 | Age-related cataract, morgagnian type, left eye | A | Can lead a claim |
| H2523 | Age-related cataract, morgagnian type, bilateral | A | Can lead a claim |
| H25811 | Combined forms of age-related cataract, right eye | A | Can lead a claim |
| H25812 | Combined forms of age-related cataract, left eye | A | Can lead a claim |
| H25813 | Combined forms of age-related cataract, bilateral | A | Can lead a claim |
| H25819 | Combined forms of age-related cataract, unspecified eye | None | Cannot lead a claim |
| H2589 | Other age-related cataract | A | Can lead a claim |
| H259 | Unspecified age-related cataract | A | Can lead a claim |
| H26001 | Unspecified infantile and juvenile cataract, right eye | A | Can lead a claim |
| H26002 | Unspecified infantile and juvenile cataract, left eye | A | Can lead a claim |
| H26003 | Unspecified infantile and juvenile cataract, bilateral | A | Can lead a claim |
| H26009 | Unspecified infantile and juvenile cataract, unspecified eye | None | Cannot lead a claim |
| H26011 | Infantile and juv cortical/lamellar/zonular cataract, r eye | A | Can lead a claim |
| H26012 | Infantile and juv cortical/lamellar/zonular cataract, l eye | A | Can lead a claim |
| H26013 | Infantile and juv cortical/lamellar/zonular cataract, bi | A | Can lead a claim |
| H26019 | Infantile & juv cortical/lamellar/zonular cataract, unsp eye | None | Cannot lead a claim |
| H26031 | Infantile and juvenile nuclear cataract, right eye | A | Can lead a claim |
| H26032 | Infantile and juvenile nuclear cataract, left eye | A | Can lead a claim |
| H26033 | Infantile and juvenile nuclear cataract, bilateral | A | Can lead a claim |
| H26039 | Infantile and juvenile nuclear cataract, unspecified eye | None | Cannot lead a claim |
| H26041 | Ant subcapsular polar infantile and juvenile cataract, r eye | A | Can lead a claim |
| H26042 | Ant subcapsular polar infantile and juv cataract, left eye | A | Can lead a claim |
| H26043 | Ant subcapsular polar infantile and juvenile cataract, bi | A | Can lead a claim |
| H26049 | Ant subcapsular polar infantile and juv cataract, unsp eye | None | Cannot lead a claim |
| H26051 | Post subcapsular polar infantile and juv cataract, r eye | A | Can lead a claim |
| H26052 | Post subcapsular polar infantile and juv cataract, left eye | A | Can lead a claim |
| H26053 | Post subcapsular polar infantile and juvenile cataract, bi | A | Can lead a claim |
| H26059 | Post subcapsular polar infantile and juv cataract, unsp eye | None | Cannot lead a claim |
| H26061 | Combined forms of infantile and juvenile cataract, right eye | A | Can lead a claim |
| H26062 | Combined forms of infantile and juvenile cataract, left eye | A | Can lead a claim |
| H26063 | Combined forms of infantile and juvenile cataract, bilateral | A | Can lead a claim |
| H26069 | Combined forms of infantile and juvenile cataract, unsp eye | None | Cannot lead a claim |
| H2609 | Other infantile and juvenile cataract | A | Can lead a claim |
| H26101 | Unspecified traumatic cataract, right eye | A | Can lead a claim |
| H26102 | Unspecified traumatic cataract, left eye | A | Can lead a claim |
| H26103 | Unspecified traumatic cataract, bilateral | A | Can lead a claim |
| H26109 | Unspecified traumatic cataract, unspecified eye | None | Cannot lead a claim |
| H26111 | Localized traumatic opacities, right eye | A | Can lead a claim |
| H26112 | Localized traumatic opacities, left eye | A | Can lead a claim |
| H26113 | Localized traumatic opacities, bilateral | A | Can lead a claim |
| H26119 | Localized traumatic opacities, unspecified eye | None | Cannot lead a claim |
| H26121 | Partially resolved traumatic cataract, right eye | A | Can lead a claim |
| H26122 | Partially resolved traumatic cataract, left eye | A | Can lead a claim |
| H26123 | Partially resolved traumatic cataract, bilateral | A | Can lead a claim |
| H26129 | Partially resolved traumatic cataract, unspecified eye | None | Cannot lead a claim |
| H26131 | Total traumatic cataract, right eye | A | Can lead a claim |
| H26132 | Total traumatic cataract, left eye | A | Can lead a claim |
| H26133 | Total traumatic cataract, bilateral | A | Can lead a claim |
| H26139 | Total traumatic cataract, unspecified eye | None | Cannot lead a claim |
| H2620 | Unspecified complicated cataract | A | Can lead a claim |
| H26211 | Cataract with neovascularization, right eye | A | Can lead a claim |
| H26212 | Cataract with neovascularization, left eye | A | Can lead a claim |
| H26213 | Cataract with neovascularization, bilateral | A | Can lead a claim |
| H26219 | Cataract with neovascularization, unspecified eye | None | Cannot lead a claim |
| H26221 | Cataract secondary to ocular disorders, right eye | A | Can lead a claim |
| H26222 | Cataract secondary to ocular disorders, left eye | A | Can lead a claim |
| H26223 | Cataract secondary to ocular disorders, bilateral | A | Can lead a claim |
| H26229 | Cataract secondary to ocular disorders, unsp eye | None | Cannot lead a claim |
| H26231 | Glaucomatous flecks (subcapsular), right eye | None | Cannot lead a claim |
| H26232 | Glaucomatous flecks (subcapsular), left eye | None | Cannot lead a claim |
| H26233 | Glaucomatous flecks (subcapsular), bilateral | None | Cannot lead a claim |
| H26239 | Glaucomatous flecks (subcapsular), unspecified eye | None | Cannot lead a claim |
| H2630 | Drug-induced cataract, unspecified eye | None | Cannot lead a claim |
| H2631 | Drug-induced cataract, right eye | A | Can lead a claim |
| H2632 | Drug-induced cataract, left eye | A | Can lead a claim |
| H2633 | Drug-induced cataract, bilateral | A | Can lead a claim |
| H2640 | Unspecified secondary cataract | None | Cannot lead a claim |
| H26411 | Soemmering's ring, right eye | A | Can lead a claim |
| H26412 | Soemmering's ring, left eye | A | Can lead a claim |
| H26413 | Soemmering's ring, bilateral | A | Can lead a claim |
| H26419 | Soemmering's ring, unspecified eye | None | Cannot lead a claim |
| H26491 | Other secondary cataract, right eye | A | Can lead a claim |
| H26492 | Other secondary cataract, left eye | A | Can lead a claim |
| H26493 | Other secondary cataract, bilateral | A | Can lead a claim |
| H26499 | Other secondary cataract, unspecified eye | None | Cannot lead a claim |
| H268 | Other specified cataract | A | Can lead a claim |
| H269 | Unspecified cataract | None | Cannot lead a claim |
| H2700 | Aphakia, unspecified eye | None | Cannot lead a claim |
| H2701 | Aphakia, right eye | A | Can lead a claim |
| H2702 | Aphakia, left eye | A | Can lead a claim |
| H2703 | Aphakia, bilateral | None | Cannot lead a claim |
| H2710 | Unspecified dislocation of lens | None | Cannot lead a claim |
| H27111 | Subluxation of lens, right eye | A | Can lead a claim |
| H27112 | Subluxation of lens, left eye | A | Can lead a claim |
| H27113 | Subluxation of lens, bilateral | A | Can lead a claim |
| H27119 | Subluxation of lens, unspecified eye | None | Cannot lead a claim |
| H27121 | Anterior dislocation of lens, right eye | A | Can lead a claim |
| H27122 | Anterior dislocation of lens, left eye | A | Can lead a claim |
| H27123 | Anterior dislocation of lens, bilateral | A | Can lead a claim |
| H27129 | Anterior dislocation of lens, unspecified eye | None | Cannot lead a claim |
| H27131 | Posterior dislocation of lens, right eye | A | Can lead a claim |
| H27132 | Posterior dislocation of lens, left eye | A | Can lead a claim |
| H27133 | Posterior dislocation of lens, bilateral | A | Can lead a claim |
| H27139 | Posterior dislocation of lens, unspecified eye | None | Cannot lead a claim |
| H278 | Other specified disorders of lens | A | Can lead a claim |
| H279 | Unspecified disorder of lens | None | Cannot lead a claim |
| H28 | Cataract in diseases classified elsewhere | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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