Version 2024

2024 ICD-10-CM Diagnosis Code H04.5

Stenosis and insufficiency of lacrimal passages

ICD-10-CM Code:
H04.5
ICD-10 Code for:
Stenosis and insufficiency of lacrimal passages
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)

H04.5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of stenosis and insufficiency of lacrimal passages. 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 Stenosis and insufficiency of lacrimal passages

Non-specific codes like H04.5 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 stenosis and insufficiency of lacrimal passages:

  • H04.51 for Dacryolith - NON-BILLABLE CODE

  • Use H04.511 for Dacryolith of right lacrimal passage - BILLABLE CODE

  • Use H04.512 for Dacryolith of left lacrimal passage - BILLABLE CODE

  • Use H04.513 for Dacryolith of bilateral lacrimal passages - BILLABLE CODE

  • Use H04.519 for Dacryolith of unspecified lacrimal passage - BILLABLE CODE

  • H04.52 for Eversion of lacrimal punctum - NON-BILLABLE CODE

  • Use H04.521 for Eversion of right lacrimal punctum - BILLABLE CODE

  • Use H04.522 for Eversion of left lacrimal punctum - BILLABLE CODE

  • Use H04.523 for Eversion of bilateral lacrimal punctum - BILLABLE CODE

  • Use H04.529 for Eversion of unspecified lacrimal punctum - BILLABLE CODE

  • H04.53 for Neonatal obstruction of nasolacrimal duct - NON-BILLABLE CODE

  • Use H04.531 for Neonatal obstruction of right nasolacrimal duct - BILLABLE CODE

  • Use H04.532 for Neonatal obstruction of left nasolacrimal duct - BILLABLE CODE

  • Use H04.533 for Neonatal obstruction of bilateral nasolacrimal duct - BILLABLE CODE

  • Use H04.539 for Neonatal obstruction of unspecified nasolacrimal duct - BILLABLE CODE

  • H04.54 for Stenosis of lacrimal canaliculi - NON-BILLABLE CODE

  • Use H04.541 for Stenosis of right lacrimal canaliculi - BILLABLE CODE

  • Use H04.542 for Stenosis of left lacrimal canaliculi - BILLABLE CODE

  • Use H04.543 for Stenosis of bilateral lacrimal canaliculi - BILLABLE CODE

  • Use H04.549 for Stenosis of unspecified lacrimal canaliculi - BILLABLE CODE

  • H04.55 for Acquired stenosis of nasolacrimal duct - NON-BILLABLE CODE

  • Use H04.551 for Acquired stenosis of right nasolacrimal duct - BILLABLE CODE

  • Use H04.552 for Acquired stenosis of left nasolacrimal duct - BILLABLE CODE

  • Use H04.553 for Acquired stenosis of bilateral nasolacrimal duct - BILLABLE CODE

  • Use H04.559 for Acquired stenosis of unspecified nasolacrimal duct - BILLABLE CODE

  • H04.56 for Stenosis of lacrimal punctum - NON-BILLABLE CODE

  • Use H04.561 for Stenosis of right lacrimal punctum - BILLABLE CODE

  • Use H04.562 for Stenosis of left lacrimal punctum - BILLABLE CODE

  • Use H04.563 for Stenosis of bilateral lacrimal punctum - BILLABLE CODE

  • Use H04.569 for Stenosis of unspecified lacrimal punctum - BILLABLE CODE

  • H04.57 for Stenosis of lacrimal sac - NON-BILLABLE CODE

  • Use H04.571 for Stenosis of right lacrimal sac - BILLABLE CODE

  • Use H04.572 for Stenosis of left lacrimal sac - BILLABLE CODE

  • Use H04.573 for Stenosis of bilateral lacrimal sac - BILLABLE CODE

  • Use H04.579 for Stenosis of unspecified lacrimal sac - BILLABLE CODE

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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.