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  6. 2024 ICD-10-CM Code H04.2
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code H04.2

Epiphora

ICD-10-CM Code:
H04.2
ICD-10 Code for:
Epiphora
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Diseases of the eye and adnexa
    (H00–H59)
    • Disorders of eyelid, lacrimal system and orbit
      (H00-H05)
      • Disorders of lacrimal system
        (H04)

H04.2 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of epiphora. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Epiphora

Non-specific codes like H04.2 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for epiphora:

  • H04.20 for Unspecified epiphora - NON-BILLABLE CODE

  • Use H04.201 for Unspecified epiphora, right side - BILLABLE CODE

  • Use H04.202 for Unspecified epiphora, left side - BILLABLE CODE

  • Use H04.203 for Unspecified epiphora, bilateral - BILLABLE CODE

  • Use H04.209 for Unspecified epiphora, unspecified side - BILLABLE CODE

  • H04.21 for Epiphora due to excess lacrimation - NON-BILLABLE CODE

  • Use H04.211 for Epiphora due to excess lacrimation, right lacrimal gland - BILLABLE CODE

  • Use H04.212 for Epiphora due to excess lacrimation, left lacrimal gland - BILLABLE CODE

  • Use H04.213 for Epiphora due to excess lacrimation, bilateral lacrimal glands - BILLABLE CODE

  • Use H04.219 for Epiphora due to excess lacrimation, unspecified lacrimal gland - BILLABLE CODE

  • H04.22 for Epiphora due to insufficient drainage - NON-BILLABLE CODE

  • Use H04.221 for Epiphora due to insufficient drainage, right side - BILLABLE CODE

  • Use H04.222 for Epiphora due to insufficient drainage, left side - BILLABLE CODE

  • Use H04.223 for Epiphora due to insufficient drainage, bilateral - BILLABLE CODE

  • Use H04.229 for Epiphora due to insufficient drainage, unspecified side - BILLABLE CODE

Patient Education


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.

Tear glands produce tears, and tear ducts carry the tears from the glands to the surface of your eye. Problems with the tear system can include too many tears, too few tears, or problems with the tear ducts. Treatment of the problem depends on the cause.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.