H04Not billable, use a more specific code below

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)

Also applies, from Disorders of eyelid, lacrimal system and orbit (H00-H05)

These notes sit on H00-H05 and apply to every code under it, including H04.

Excludes2: not included here, code separately if applicable

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.

Read Section I.C.7 (page 48)

All codes under H04

H04 can't be used on a claim. Pick a billable code below; grey headings group them.

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.

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 MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.