All ICD10 Codes
H04Non-billable

Disorders of lacrimal system

Diseases of the Eye and Adnexa·Disorders of eyelid, lacrimal system and orbit (H00-H05)·category·FY 2026

Use a more specific code (1 billable, 8 non-billable)
H04.0Dacryoadenitishas subcodesH04.1Other disorders of lacrimal glandhas subcodesH04.2Epiphorahas subcodesH04.3Acute and unspecified inflammation of lacrimal passageshas subcodesH04.4Chronic inflammation of lacrimal passageshas subcodesH04.5Stenosis and insufficiency of lacrimal passageshas subcodesH04.6Other changes of lacrimal passageshas subcodesH04.8Other disorders of lacrimal systemhas subcodesH04.9Disorder of lacrimal system, unspecified

CH7 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

H00-H05 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • congenital malformations of lacrimal system (Q10.4-Q10.6)

Clinical Hierarchy

BillableHas subcodes
CH7Diseases of the eye and adnexa (H00-H59)
H00-H05Disorders of eyelid, lacrimal system and orbit (H00-H05)
H04Disorders of lacrimal systemNot billable
H04.0DacryoadenitisSubcodes
H04.1Other disorders of lacrimal glandSubcodes
H04.2EpiphoraSubcodes
H04.3Acute and unspecified inflammation of lacrimal passagesSubcodes
H04.4Chronic inflammation of lacrimal passagesSubcodes
H04.5Stenosis and insufficiency of lacrimal passagesSubcodes
H04.6Other changes of lacrimal passagesSubcodes
H04.8Other disorders of lacrimal systemSubcodes
H04.9Disorder of lacrimal system, unspecifiedBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.