Disorders of lacrimal system
In Disorders of eyelid, lacrimal system and orbit (H00-H05), chapter 7: Diseases of the Eye and Adnexa
120 billable codes under H04: none are a CC or MCC; none map to an HCC.
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Instructional notes
Excludes1: not coded here, use a different code
- congenital malformations of lacrimal system (Q10.4-Q10.6)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers coding glaucoma by type, eye, and stage, including bilateral cases and stage changes, and coding blindness or low vision when the impairment category is undocumented.
All codes under H04
H04 can't be used on a claim. Pick a billable code below; grey headings group them.
- H04.0Dacryoadenitis
- H04.00Unspecified dacryoadenitis
- H04.001Unspecified dacryoadenitis, right lacrimal gland
- H04.002Unspecified dacryoadenitis, left lacrimal gland
- H04.003Unspecified dacryoadenitis, bilateral lacrimal glands
- H04.009Unspecified dacryoadenitis, unspecified lacrimal gland
- H04.01Acute dacryoadenitis
- H04.011Acute dacryoadenitis, right lacrimal gland
- H04.012Acute dacryoadenitis, left lacrimal gland
- H04.013Acute dacryoadenitis, bilateral lacrimal glands
- H04.019Acute dacryoadenitis, unspecified lacrimal gland
- H04.02Chronic dacryoadenitis
- H04.021Chronic dacryoadenitis, right lacrimal gland
- H04.022Chronic dacryoadenitis, left lacrimal gland
- H04.023Chronic dacryoadenitis, bilateral lacrimal gland
- H04.029Chronic dacryoadenitis, unspecified lacrimal gland
- H04.03Chronic enlargement of lacrimal gland
- H04.031Chronic enlargement of right lacrimal gland
- H04.032Chronic enlargement of left lacrimal gland
- H04.033Chronic enlargement of bilateral lacrimal glands
- H04.039Chronic enlargement of unspecified lacrimal gland
- H04.1Other disorders of lacrimal gland
- H04.11Dacryops
- H04.111Dacryops of right lacrimal gland
- H04.112Dacryops of left lacrimal gland
- H04.113Dacryops of bilateral lacrimal glands
- H04.119Dacryops of unspecified lacrimal gland
- H04.12Dry eye syndrome
- H04.121Dry eye syndrome of right lacrimal gland
- H04.122Dry eye syndrome of left lacrimal gland
- H04.123Dry eye syndrome of bilateral lacrimal glands
- H04.129Dry eye syndrome of unspecified lacrimal gland
- H04.13Lacrimal cyst
- H04.131Lacrimal cyst, right lacrimal gland
- H04.132Lacrimal cyst, left lacrimal gland
- H04.133Lacrimal cyst, bilateral lacrimal glands
- H04.139Lacrimal cyst, unspecified lacrimal gland
- H04.14Primary lacrimal gland atrophy
- H04.141Primary lacrimal gland atrophy, right lacrimal gland
- H04.142Primary lacrimal gland atrophy, left lacrimal gland
- H04.143Primary lacrimal gland atrophy, bilateral lacrimal glands
- H04.149Primary lacrimal gland atrophy, unspecified lacrimal gland
- H04.15Secondary lacrimal gland atrophy
- H04.151Secondary lacrimal gland atrophy, right lacrimal gland
- H04.152Secondary lacrimal gland atrophy, left lacrimal gland
- H04.153Secondary lacrimal gland atrophy, bilateral lacrimal glands
- H04.159Secondary lacrimal gland atrophy, unspecified lacrimal gland
- H04.16Lacrimal gland dislocation
- H04.161Lacrimal gland dislocation, right lacrimal gland
- H04.162Lacrimal gland dislocation, left lacrimal gland
- H04.163Lacrimal gland dislocation, bilateral lacrimal glands
- H04.169Lacrimal gland dislocation, unspecified lacrimal gland
- H04.19Other specified disorders of lacrimal gland
- H04.2Epiphora
- H04.20Unspecified epiphora
- H04.201Unspecified epiphora, right side
- H04.202Unspecified epiphora, left side
- H04.203Unspecified epiphora, bilateral
- H04.209Unspecified epiphora, unspecified side
- H04.21Epiphora due to excess lacrimation
- H04.211Epiphora due to excess lacrimation, right lacrimal gland
- H04.212Epiphora due to excess lacrimation, left lacrimal gland
- H04.213Epiphora due to excess lacrimation, bilateral lacrimal glands
- H04.219Epiphora due to excess lacrimation, unspecified lacrimal gland
- H04.22Epiphora due to insufficient drainage
- H04.221Epiphora due to insufficient drainage, right side
- H04.222Epiphora due to insufficient drainage, left side
- H04.223Epiphora due to insufficient drainage, bilateral
- H04.229Epiphora due to insufficient drainage, unspecified side
- H04.3Acute and unspecified inflammation of lacrimal passages
- H04.30Unspecified dacryocystitis
- H04.301Unspecified dacryocystitis of right lacrimal passage
- H04.302Unspecified dacryocystitis of left lacrimal passage
- H04.303Unspecified dacryocystitis of bilateral lacrimal passages
- H04.309Unspecified dacryocystitis of unspecified lacrimal passage
- H04.31Phlegmonous dacryocystitis
- H04.311Phlegmonous dacryocystitis of right lacrimal passage
- H04.312Phlegmonous dacryocystitis of left lacrimal passage
- H04.313Phlegmonous dacryocystitis of bilateral lacrimal passages
- H04.319Phlegmonous dacryocystitis of unspecified lacrimal passage
- H04.32Acute dacryocystitis
- H04.321Acute dacryocystitis of right lacrimal passage
- H04.322Acute dacryocystitis of left lacrimal passage
- H04.323Acute dacryocystitis of bilateral lacrimal passages
- H04.329Acute dacryocystitis of unspecified lacrimal passage
- H04.33Acute lacrimal canaliculitis
- H04.331Acute lacrimal canaliculitis of right lacrimal passage
- H04.332Acute lacrimal canaliculitis of left lacrimal passage
- H04.333Acute lacrimal canaliculitis of bilateral lacrimal passages
- H04.339Acute lacrimal canaliculitis of unspecified lacrimal passage
- H04.4Chronic inflammation of lacrimal passages
- H04.41Chronic dacryocystitis
- H04.411Chronic dacryocystitis of right lacrimal passage
- H04.412Chronic dacryocystitis of left lacrimal passage
- H04.413Chronic dacryocystitis of bilateral lacrimal passages
- H04.419Chronic dacryocystitis of unspecified lacrimal passage
- H04.42Chronic lacrimal canaliculitis
- H04.421Chronic lacrimal canaliculitis of right lacrimal passage
- H04.422Chronic lacrimal canaliculitis of left lacrimal passage
- H04.423Chronic lacrimal canaliculitis of bilateral lacrimal passages
- H04.429Chronic lacrimal canaliculitis of unspecified lacrimal passage
- H04.43Chronic lacrimal mucocele
- H04.431Chronic lacrimal mucocele of right lacrimal passage
- H04.432Chronic lacrimal mucocele of left lacrimal passage
- H04.433Chronic lacrimal mucocele of bilateral lacrimal passages
- H04.439Chronic lacrimal mucocele of unspecified lacrimal passage
- H04.5Stenosis and insufficiency of lacrimal passages
- H04.51Dacryolith
- H04.511Dacryolith of right lacrimal passage
- H04.512Dacryolith of left lacrimal passage
- H04.513Dacryolith of bilateral lacrimal passages
- H04.519Dacryolith of unspecified lacrimal passage
- H04.52Eversion of lacrimal punctum
- H04.521Eversion of right lacrimal punctum
- H04.522Eversion of left lacrimal punctum
- H04.523Eversion of bilateral lacrimal punctum
- H04.529Eversion of unspecified lacrimal punctum
- H04.53Neonatal obstruction of nasolacrimal duct
- H04.531Neonatal obstruction of right nasolacrimal duct
- H04.532Neonatal obstruction of left nasolacrimal duct
- H04.533Neonatal obstruction of bilateral nasolacrimal duct
- H04.539Neonatal obstruction of unspecified nasolacrimal duct
- H04.54Stenosis of lacrimal canaliculi
- H04.541Stenosis of right lacrimal canaliculi
- H04.542Stenosis of left lacrimal canaliculi
- H04.543Stenosis of bilateral lacrimal canaliculi
- H04.549Stenosis of unspecified lacrimal canaliculi
- H04.55Acquired stenosis of nasolacrimal duct
- H04.551Acquired stenosis of right nasolacrimal duct
- H04.552Acquired stenosis of left nasolacrimal duct
- H04.553Acquired stenosis of bilateral nasolacrimal duct
- H04.559Acquired stenosis of unspecified nasolacrimal duct
- H04.56Stenosis of lacrimal punctum
- H04.561Stenosis of right lacrimal punctum
- H04.562Stenosis of left lacrimal punctum
- H04.563Stenosis of bilateral lacrimal punctum
- H04.569Stenosis of unspecified lacrimal punctum
- H04.57Stenosis of lacrimal sac
- H04.571Stenosis of right lacrimal sac
- H04.572Stenosis of left lacrimal sac
- H04.573Stenosis of bilateral lacrimal sac
- H04.579Stenosis of unspecified lacrimal sac
- H04.6Other changes of lacrimal passages
- H04.61Lacrimal fistula
- H04.611Lacrimal fistula right lacrimal passage
- H04.612Lacrimal fistula left lacrimal passage
- H04.613Lacrimal fistula bilateral lacrimal passages
- H04.619Lacrimal fistula unspecified lacrimal passage
- H04.69Other changes of lacrimal passages
- H04.8Other disorders of lacrimal system
- H04.81Granuloma of lacrimal passages
- H04.811Granuloma of right lacrimal passage
- H04.812Granuloma of left lacrimal passage
- H04.813Granuloma of bilateral lacrimal passages
- H04.819Granuloma of unspecified lacrimal passage
- H04.89Other disorders of lacrimal system
- H04.9Disorder of lacrimal system, unspecified
H04 MS-DRGs
As the principal diagnosis, the billable codes under H04 group to MS-DRG 124, 125, 121, or 122 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 124 Other Disorders of the Eye with MCC or Thrombolytic Agent (108 of 120 codes)
- DRG 125 Other Disorders of the Eye without MCC (108 of 120 codes)
- DRG 121 Acute Major Eye Infections with CC/MCC (12 of 120 codes)
- DRG 122 Acute Major Eye Infections without CC/MCC (12 of 120 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Tears
You may only think of tears as those salty drops that fall from your eyes when you cry. Actually, your tears clean your eyes every time you blink. Tears also keep your eyes moist, which is important for your vision.
Read more about tears on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
