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  6. 2026 ICD-10-CM Code H04

2026 ICD-10-CM Diagnosis Code H04

Disorders of lacrimal system

ICD-10-CM Code:
H04
ICD-10 Code for:
Disorders of lacrimal system
Is Billable?
Not Valid for Submission
Code Navigator:

H04 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity from the list below for a diagnosis of disorders of lacrimal system. The code is not specific and is NOT valid for the year 2026 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 Disorders of lacrimal system

Non-specific codes like H04 require more digits to indicate the appropriate level of specificity. Consider using any of the following billable codes with a higher level of specificity when coding for disorders of lacrimal system:

  • H04.0 for Dacryoadenitis

  • H04.00 for Unspecified dacryoadenitis

  • H04.01 for Acute dacryoadenitis

  • H04.02 for Chronic dacryoadenitis

  • H04.03 for Chronic enlargement of lacrimal gland

  • H04.1 for Other disorders of lacrimal gland

  • H04.11 for Dacryops

  • H04.12 for Dry eye syndrome

  • H04.13 for Lacrimal cyst

  • H04.14 for Primary lacrimal gland atrophy

  • H04.15 for Secondary lacrimal gland atrophy

  • H04.16 for Lacrimal gland dislocation

  • Use H04.19 for Other specified disorders of lacrimal gland

  • H04.2 for Epiphora

  • H04.20 for Unspecified epiphora

  • H04.21 for Epiphora due to excess lacrimation

  • H04.22 for Epiphora due to insufficient drainage

  • H04.3 for Acute and unspecified inflammation of lacrimal passages

  • H04.30 for Unspecified dacryocystitis

  • H04.31 for Phlegmonous dacryocystitis

  • H04.32 for Acute dacryocystitis

  • H04.33 for Acute lacrimal canaliculitis

  • H04.4 for Chronic inflammation of lacrimal passages

  • H04.41 for Chronic dacryocystitis

  • H04.42 for Chronic lacrimal canaliculitis

  • H04.43 for Chronic lacrimal mucocele

  • H04.5 for Stenosis and insufficiency of lacrimal passages

  • H04.51 for Dacryolith

  • H04.52 for Eversion of lacrimal punctum

  • H04.53 for Neonatal obstruction of nasolacrimal duct

  • H04.54 for Stenosis of lacrimal canaliculi

  • H04.55 for Acquired stenosis of nasolacrimal duct

  • H04.56 for Stenosis of lacrimal punctum

  • H04.57 for Stenosis of lacrimal sac

  • H04.6 for Other changes of lacrimal passages

  • H04.61 for Lacrimal fistula

  • Use H04.69 for Other changes of lacrimal passages

  • H04.8 for Other disorders of lacrimal system

  • H04.81 for Granuloma of lacrimal passages

  • Use H04.89 for Other disorders of lacrimal system

  • Use H04.9 for Disorder of lacrimal system, unspecified

Code Classification

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

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • congenital malformations of lacrimal system Q10.4 Q10.6

Patient Education


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Code History

  • FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026
  • FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
  • 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.