| H04.11 | Dacryops | NON-BILLABLE CODE |
| H04.111 | Dacryops of right lacrimal gland | BILLABLE CODE |
| H04.112 | Dacryops of left lacrimal gland | BILLABLE CODE |
| H04.113 | Dacryops of bilateral lacrimal glands | BILLABLE CODE |
| H04.119 | Dacryops of unspecified lacrimal gland | BILLABLE CODE |
| H04.12 | Dry eye syndrome | NON-BILLABLE CODE |
| H04.121 | Dry eye syndrome of right lacrimal gland | BILLABLE CODE |
| H04.122 | Dry eye syndrome of left lacrimal gland | BILLABLE CODE |
| H04.123 | Dry eye syndrome of bilateral lacrimal glands | BILLABLE CODE |
| H04.129 | Dry eye syndrome of unspecified lacrimal gland | BILLABLE CODE |
| H04.13 | Lacrimal cyst | NON-BILLABLE CODE |
| H04.131 | Lacrimal cyst, right lacrimal gland | BILLABLE CODE |
| H04.132 | Lacrimal cyst, left lacrimal gland | BILLABLE CODE |
| H04.133 | Lacrimal cyst, bilateral lacrimal glands | BILLABLE CODE |
| H04.139 | Lacrimal cyst, unspecified lacrimal gland | BILLABLE CODE |
| H04.14 | Primary lacrimal gland atrophy | NON-BILLABLE CODE |
| H04.141 | Primary lacrimal gland atrophy, right lacrimal gland | BILLABLE CODE |
| H04.142 | Primary lacrimal gland atrophy, left lacrimal gland | BILLABLE CODE |
| H04.143 | Primary lacrimal gland atrophy, bilateral lacrimal glands | BILLABLE CODE |
| H04.149 | Primary lacrimal gland atrophy, unspecified lacrimal gland | BILLABLE CODE |
| H04.15 | Secondary lacrimal gland atrophy | NON-BILLABLE CODE |
| H04.151 | Secondary lacrimal gland atrophy, right lacrimal gland | BILLABLE CODE |
| H04.152 | Secondary lacrimal gland atrophy, left lacrimal gland | BILLABLE CODE |
| H04.153 | Secondary lacrimal gland atrophy, bilateral lacrimal glands | BILLABLE CODE |
| H04.159 | Secondary lacrimal gland atrophy, unspecified lacrimal gland | BILLABLE CODE |
| H04.16 | Lacrimal gland dislocation | NON-BILLABLE CODE |
| H04.161 | Lacrimal gland dislocation, right lacrimal gland | BILLABLE CODE |
| H04.162 | Lacrimal gland dislocation, left lacrimal gland | BILLABLE CODE |
| H04.163 | Lacrimal gland dislocation, bilateral lacrimal glands | BILLABLE CODE |
| H04.169 | Lacrimal gland dislocation, unspecified lacrimal gland | BILLABLE CODE |
| H04.19 | Other specified disorders of lacrimal gland | BILLABLE CODE |
