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Home/Diagnosis/ICD-10 Coding for Bilateral Cataracts

ICD-10 Coding for Bilateral Cataracts

H25.03
H26.33

Complete ICD-10-CM coding and documentation guide for icd-10 coding for bilateral cataracts includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Cataracts in both eyes
Bilateral lens opacity
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Key Information: ICD-10 Coding for Bilateral Cataracts

Essential facts and insights about ICD-10 Coding for Bilateral Cataracts

Use ICD-10 code H25.03 for age-related nuclear cataract, bilateral, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Age-related nuclear cataract, bilateral

Non-Billable
H25.03
Non-Billable

Diagnostic Criteria

  • • Presence of bilateral nuclear cataracts with significant visual impairment.

Applicable To

  • • Bilateral age-related nuclear cataracts

Important Notes

  • • Ensure to update the code from bilateral to unilateral after the first eye surgery.

Drug-induced cataract, bilateral

Billable Code
H26.33
Billable

Diagnostic Criteria

  • • Medication list showing ≥1 year of glucocorticoids
  • • Absence of other risk factors

Applicable To

  • • Bilateral cataracts due to drug use

Important Notes

  • • Document the specific drug and duration of use.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z98.41

Cataract extraction status

Use after cataract surgery to indicate the status of the treated eye.

Frequently Asked Questions

What is the ICD-10 code for bilateral cataracts?

The ICD-10 code for bilateral age-related nuclear cataracts is H25.03. For drug-induced bilateral cataracts, use H26.33.

How should bilateral cataracts be documented?

Document visual acuity, functional impact, and specific cataract type. Use codes like H25.03 for age-related and H26.33 for drug-induced cataracts.

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