2022 ICD-10-CM Code H04

Disorders of lacrimal system

Version 2021

Not Valid for Submission

ICD-10:H04
Short Description:Disorders of lacrimal system
Long Description:Disorders of lacrimal system

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 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of disorders of lacrimal system. The code is not specific and is NOT valid for the year 2022 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 for 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 ICD-10 codes with a higher level of specificity when coding for disorders of lacrimal system:

  • NON-BILLABLE CODE - H04.0 for Dacryoadenitis
  • NON-BILLABLE CODE - H04.00 for Unspecified dacryoadenitis
  • NON-BILLABLE CODE - H04.01 for Acute dacryoadenitis
  • NON-BILLABLE CODE - H04.02 for Chronic dacryoadenitis
  • NON-BILLABLE CODE - H04.03 for Chronic enlargement of lacrimal gland
  • NON-BILLABLE CODE - H04.1 for Other disorders of lacrimal gland
  • NON-BILLABLE CODE - H04.11 for Dacryops
  • NON-BILLABLE CODE - H04.12 for Dry eye syndrome
  • NON-BILLABLE CODE - H04.13 for Lacrimal cyst
  • NON-BILLABLE CODE - H04.14 for Primary lacrimal gland atrophy
  • NON-BILLABLE CODE - H04.15 for Secondary lacrimal gland atrophy
  • NON-BILLABLE CODE - H04.16 for Lacrimal gland dislocation
  • BILLABLE CODE - Use H04.19 for Other specified disorders of lacrimal gland
  • NON-BILLABLE CODE - H04.2 for Epiphora
  • NON-BILLABLE CODE - H04.20 for Unspecified epiphora
  • NON-BILLABLE CODE - H04.21 for Epiphora due to excess lacrimation
  • NON-BILLABLE CODE - H04.22 for Epiphora due to insufficient drainage
  • NON-BILLABLE CODE - H04.3 for Acute and unspecified inflammation of lacrimal passages
  • NON-BILLABLE CODE - H04.30 for Unspecified dacryocystitis
  • NON-BILLABLE CODE - H04.31 for Phlegmonous dacryocystitis
  • NON-BILLABLE CODE - H04.32 for Acute dacryocystitis
  • NON-BILLABLE CODE - H04.33 for Acute lacrimal canaliculitis
  • NON-BILLABLE CODE - H04.4 for Chronic inflammation of lacrimal passages
  • NON-BILLABLE CODE - H04.41 for Chronic dacryocystitis
  • NON-BILLABLE CODE - H04.42 for Chronic lacrimal canaliculitis
  • NON-BILLABLE CODE - H04.43 for Chronic lacrimal mucocele
  • NON-BILLABLE CODE - H04.5 for Stenosis and insufficiency of lacrimal passages
  • NON-BILLABLE CODE - H04.51 for Dacryolith
  • NON-BILLABLE CODE - H04.52 for Eversion of lacrimal punctum
  • NON-BILLABLE CODE - H04.53 for Neonatal obstruction of nasolacrimal duct
  • NON-BILLABLE CODE - H04.54 for Stenosis of lacrimal canaliculi
  • NON-BILLABLE CODE - H04.55 for Acquired stenosis of nasolacrimal duct
  • NON-BILLABLE CODE - H04.56 for Stenosis of lacrimal punctum
  • NON-BILLABLE CODE - H04.57 for Stenosis of lacrimal sac
  • NON-BILLABLE CODE - H04.6 for Other changes of lacrimal passages
  • NON-BILLABLE CODE - H04.61 for Lacrimal fistula
  • BILLABLE CODE - Use H04.69 for Other changes of lacrimal passages
  • NON-BILLABLE CODE - H04.8 for Other disorders of lacrimal system
  • NON-BILLABLE CODE - H04.81 for Granuloma of lacrimal passages
  • BILLABLE CODE - Use H04.89 for Other disorders of lacrimal system
  • BILLABLE CODE - Use H04.9 for Disorder of lacrimal system, unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code H04:


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.

Information for Patients


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 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 (First year ICD-10-CM implemented into the HIPAA code set)