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ICD-10 Coding for Bilateral Age-Related Combined Form Cataract(H25.813, E11.39, H25.011)

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Learn about the ICD-10 code H25.813 for bilateral age-related combined form cataracts, including documentation requirements and coding tips.

Also known as:
Bilateral Senile CataractBilateral Mixed Cataract
Related ICD-10 Code Ranges

Complete code families applicable to Bilateral Age-Related Combined Form Cataract

H00-H59Primary Range

Diseases of the eye and adnexa

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Primary ICD-10-CM Codes
Combined forms of age-related cataract, bilateral
H25.813Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Cortical age-related cataract, bilateralH25.011

Use when only cortical cataracts are present bilaterally.

Morgagnian cataract, right eyeH25.21

Use for hypermature cataracts with liquefied nucleus.

Documentation & Coding Risks

Avoid these common issues when documenting Bilateral Age-Related Combined Form Cataract.

Not documenting 'age-related' for elderly patients

Impact

Clinical: Misclassification of cataract etiology., Regulatory: Potential audit findings for non-compliance., Financial: Claim denials due to incorrect coding.

Mitigation

Always include 'age-related' in documentation for elderly patients., Educate staff on documentation requirements.

Using H25.2 instead of H25.813 for combined forms

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data on cataract prevalence and treatment.

Mitigation

Reserve H25.2 for hypermature cataracts only.

Documentation specificity

Impact

Lack of detail in cataract type and etiology documentation.

Mitigation

Implement detailed documentation templates and regular audits.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with H25.813.