H25.812
BillableCombined forms of age-related cataract, left eye
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is H25.812 an HCC code?
No. H25.812 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H25.812 is the ICD-10-CM diagnosis code for combined forms of age-related cataract, left eye. A combination of different types of age-related cataracts occurring in the left eye, where multiple cataract patterns are present simultaneously. H25.812 sits in the ICD-10-CM chapter for diseases of the eye and adnexa (h00-h59), within the section covering disorders of lens (h25-h28).
H25.812 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Combined forms indicate multiple cataract types in the same eye; ensure documentation specifies which types are present.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H25.812 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.